Azcárate Perea Leire, Oliveros Acebes Eduardo, Moreno Mata Nicolás, Salomón Pérez Roberto, Vilalta Castel Encarnación, González Aragoneses Federico
Servicio de Cirugía Torácica, Hospital General Universitario Gregorio Marañon, Madrid, España.
Arch Bronconeumol. 2009 Sep;45(9):466-8. doi: 10.1016/j.arbres.2009.01.005. Epub 2009 Apr 29.
Epithelioid hemangioendothelioma is a multifocal tumor that rarely metastasizes. It is difficult to diagnose and is most often an incidental finding in young asymptomatic women. It has a heterogeneous radiologic pattern. The most important diagnostic information is histologic confirmation of Weibel-Palade bodies or immunohistochemistry based on specific tumor markers such as factor VIII and CD34. We report the case of a 73-year-old woman in whom multiple pulmonary nodules detected by chance in a radiograph were subsequently diagnosed as epithelioid hemangioendothelioma.
上皮样血管内皮瘤是一种多灶性肿瘤,很少发生转移。它难以诊断,在年轻无症状女性中最常为偶然发现。其影像学表现具有异质性。最重要的诊断信息是通过组织学证实魏贝尔-帕拉德小体或基于特定肿瘤标志物(如因子VIII和CD34)的免疫组织化学检查。我们报告了一例73岁女性病例,其在胸部X线检查中偶然发现多个肺结节,随后被诊断为上皮样血管内皮瘤。