Murdzhev K, Uchikov A, Zaprianov Z, Dimitrov I
Khirurgiia (Sofiia). 2007(4):68-70.
Sclerosing hemangioma of the lung is a rare tumor, defined as benign, but it has the propensity for recurrence and metastases. We present a case of operative treatment of a 37-years-old female patient with such tumor, with preoperatively assessed clinical and X-ray evidence for tumor formation in the right lung. At the operation we found a tumor in the third segment of the right lung, resembling visually and histologically (frozen section) a metastase. A wedge resection of the superior lobe was performed. Histological examination (including immunohistochemistry) showed sclerosing hemangioma (papillary pneumocytoma). There were no complications in the postoperative period, two years after the operation the patient is in very good condition, there is no evidence of recurrence or metastases.
肺硬化性血管瘤是一种罕见的肿瘤,被定义为良性,但有复发和转移的倾向。我们报告一例37岁女性患者的该肿瘤手术治疗病例,术前经临床和X线评估发现右肺有肿瘤形成迹象。手术中我们在右肺第三段发现一个肿瘤,肉眼及组织学检查(冰冻切片)类似转移瘤。遂行上叶楔形切除术。组织学检查(包括免疫组化)显示为硬化性血管瘤(乳头状肺细胞瘤)。术后无并发症,术后两年患者状况良好,无复发或转移迹象。