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罕见中的罕见:肺恶性血管周上皮样细胞瘤。

Uncommon of the uncommon: malignant perivascular epithelioid cell tumor of the lung.

机构信息

Department of Radiology and Center for Imaging, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 135-710, Korea.

出版信息

Korean J Radiol. 2013 Jul-Aug;14(4):692-6. doi: 10.3348/kjr.2013.14.4.692. Epub 2013 Jul 17.

DOI:10.3348/kjr.2013.14.4.692
PMID:23901329
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3725366/
Abstract

A perivascular epithelioid cell (PEC) tumor is a rare mesenchymal tumor characterized by abundant cytoplasmic Periodic acid-Schiff positive glycogen (also called sugar tumor or clear cell tumor of the lung for this characteristic) and is mostly benign. We report a case of a 63-year-old man who presented with an enlarging mass on chest radiograph. After a thorough workup, diagnosis of malignant pulmonary PEC tumor with lung to lung metastases was established. Herein, the difficulties of diagnosis and management we confronted are described.

摘要

血管周上皮样细胞瘤是一种罕见的间叶性肿瘤,其特征为大量细胞质过碘酸希夫阳性糖原(也因其特征而被称为糖瘤或肺透明细胞肿瘤),且多为良性。我们报告了 1 例 63 岁男性,其胸部 X 线片显示肿块增大。经过全面检查,诊断为恶性肺血管周上皮样细胞瘤伴肺内转移。本文描述了我们所面临的诊断和治疗困难。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1219/3725366/dd141a0bff8e/kjr-14-692-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1219/3725366/dd141a0bff8e/kjr-14-692-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1219/3725366/dd141a0bff8e/kjr-14-692-g001.jpg

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本文引用的文献

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Histopathology. 2011 Feb;58(3):498-500. doi: 10.1111/j.1365-2559.2011.03773.x. Epub 2011 Feb 16.
2
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BMC Surg. 2011 Jan 27;11:3. doi: 10.1186/1471-2482-11-3.
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Malignant clear cell sugar tumor of the lung: patient case report.
Innov Surg Sci. 2017 Feb 23;2(1):39-42. doi: 10.1515/iss-2016-0032. eCollection 2017 Mar.
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