Lutgendorf Monica A, Magann Everett F, Yousef Mashour, Hill James B, Foster David T
Naval Medical Center Portsmouth, Portsmouth, Va., USA.
Gynecol Obstet Invest. 2009;67(4):238-40. doi: 10.1159/000209216. Epub 2009 Mar 17.
Epithelioid hemangioendothelioma (EHE) is a rare vascular neoplasm that affects various tissues including liver, lung, gastrointestinal tract, head and neck, bone, heart and the central nervous system.
A case of EHE is presented with lung and liver involvement during pregnancy. The patient had an uncomplicated antenatal course and delivery. Because of her asymptomatic presentation and the lack of safe and effective treatment during pregnancy, the decision was made to continue expectant management during her pregnancy. To our knowledge, this is the only published case report on this tumor with lung and liver involvement during pregnancy.
Expectant management of hepatic EHE is possible during pregnancy and can result in good maternal and fetal outcomes.
上皮样血管内皮瘤(EHE)是一种罕见的血管肿瘤,可累及包括肝脏、肺、胃肠道、头颈部、骨骼、心脏和中枢神经系统在内的各种组织。
本文报告一例妊娠期间肺部和肝脏受累的EHE病例。该患者产前过程及分娩均无并发症。由于其无症状表现且孕期缺乏安全有效的治疗方法,因此决定在孕期继续进行观察性管理。据我们所知,这是唯一一篇发表的关于该肿瘤在妊娠期间肺部和肝脏受累的病例报告。
孕期对肝脏EHE进行观察性管理是可行的,并且可以带来良好的母婴结局。