Stojsić Jelena, Milenković Vranislava, Radojicić Jelena, Percinkovski Malina
Srp Arh Celok Lek. 2007 Sep-Oct;135(9-10):569-71. doi: 10.2298/sarh0710569s.
Sclerosing haemangioma is a benign tumour, also known under the term "pneumocytoma". It is mostly notified in older females and is usually solitary. According to the histological appearance, sclerosing haemangioma could be: papillary, sclerotic, solid and haemorrhagic.
A 68-year-old female patient was radiologically diagnosed with coin lesion in the lower right lobe. Lower right lobectomy was performed after clinical investigations. In pulmonary parenchyma, there was found a well circumscribed node of up to 35 mm in maximal diameter. The tumour was histologically established as sclerosing haemangioma, containing two types of cells with the same immunophenotype. A multiple type of tumour was excluded by postoperative radiological examinations. Two years after surgery, the patient is without disease recurrence.
Sclerosing haemangioma should be considered in patients with radiologically diagnosed "coin-like" lesions of a solid as well as multiple type.
硬化性血管瘤是一种良性肿瘤,也被称为“肺细胞瘤”。多见于老年女性,通常为单发。根据组织学表现,硬化性血管瘤可分为:乳头状、硬化性、实性和出血性。
一名68岁女性患者经影像学检查诊断为右下叶硬币状病变。临床检查后行右下叶切除术。在肺实质中发现一个最大直径达35mm的边界清晰的结节。肿瘤经组织学确诊为硬化性血管瘤,含有两种具有相同免疫表型的细胞。术后影像学检查排除了多发型肿瘤。术后两年,患者无疾病复发。
对于影像学诊断为实性及多发型“硬币状”病变的患者,应考虑硬化性血管瘤。