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妊娠期肝上皮样血管内皮瘤

Hepatic epithelial hemangioendothelioma in pregnancy.

作者信息

Lutgendorf Monica A, Magann Everett F, Yousef Mashour, Hill James B, Foster David T

机构信息

Naval Medical Center Portsmouth, Portsmouth, Va., USA.

出版信息

Gynecol Obstet Invest. 2009;67(4):238-40. doi: 10.1159/000209216. Epub 2009 Mar 17.

DOI:10.1159/000209216
PMID:19293591
Abstract

BACKGROUND

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.

CASE REPORT

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.

CONCLUSION

Expectant management of hepatic EHE is possible during pregnancy and can result in good maternal and fetal outcomes.

摘要

背景

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。

病例报告

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。

结论

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。

相似文献

1
Hepatic epithelial hemangioendothelioma in pregnancy.妊娠期肝上皮样血管内皮瘤
Gynecol Obstet Invest. 2009;67(4):238-40. doi: 10.1159/000209216. Epub 2009 Mar 17.
2
Pregnancy after treatment of epithelioid hemangioendothelioma. A case report.上皮样血管内皮瘤治疗后妊娠。一例报告。
J Reprod Med. 1994 Jan;39(1):52-4.
3
[Epithelioid hemangioendothelioma: disease course in 3 cases].[上皮样血管内皮瘤:3例病例的疾病进程]
Ann Dermatol Venereol. 1997;124(2):165-6.
4
[A case of hepatic epithelioid hemangioendothelioma that caused extrahepatic metastases without intrahepatic recurrence after hepatic resection].[一例肝上皮样血管内皮瘤肝切除术后发生肝外转移但无肝内复发]
Korean J Hepatol. 2008 Dec;14(4):525-31. doi: 10.3350/kjhep.2008.14.4.525.
5
[Epithelioid hemangioendothelioma: a rare hepatic tumor].[上皮样血管内皮瘤:一种罕见的肝脏肿瘤]
Rev Esp Enferm Dig. 1995 Oct;87(10):749-51.
6
Hepatic epithelioid hemangioendothelioma: a report of six patients.肝上皮样血管内皮瘤:6例报告
J Dig Dis. 2010 Aug;11(4):254-8. doi: 10.1111/j.1751-2980.2010.00447.x.
7
[Solitary epithelioid hemangioendothelioma, a rare vascular tumor of the lung].[孤立性上皮样血管内皮瘤,一种罕见的肺血管肿瘤]
Pneumologie. 1995 Mar;49(3):239-42.
8
Epithelioid hemangioendothelioma of the submandibular gland.下颌下腺上皮样血管内皮瘤
Auris Nasus Larynx. 2008 Mar;35(1):157-9. doi: 10.1016/j.anl.2007.05.005. Epub 2007 Sep 19.
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Expectant management of focal nodular hyperplasia during pregnancy. A case report.孕期局灶性结节性增生的期待治疗。病例报告。
J Reprod Med. 1992 Apr;37(4):367-71.
10
[Epithelioid hemangioendothelioma associated with nodular regenerative hyperplasia].[上皮样血管内皮瘤伴结节性再生性增生]
Gastroenterol Clin Biol. 2001 Dec;25(12):1105-7.

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1
Postnatal treatment and evolution patterns of giant fetal hepatic hemangioma: a case series of 29 patients.新生儿期巨大肝血管瘤的治疗及演变模式:29 例病例系列研究。
BMC Pediatr. 2024 Jan 3;24(1):8. doi: 10.1186/s12887-023-04476-2.
2
Epithelioid hemangioendothelioma - an unexpected diagnosis of a mediastinal tumor with extensive local thrombosis.上皮样血管内皮细胞瘤——纵隔肿瘤伴广泛局部血栓形成的意外诊断。
Rom J Morphol Embryol. 2022 Jan-Mar;63(1):197-202. doi: 10.47162/RJME.63.1.21.
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Huge fetal hepatic Hemangioma: prenatal diagnosis on ultrasound and prognosis.
巨大胎儿肝血管瘤:超声产前诊断与预后。
BMC Pregnancy Childbirth. 2018 Jan 2;18(1):2. doi: 10.1186/s12884-017-1635-7.