Kita Hidefumi, Shiraishi Yuji, Katsuragi Naoya, Shimoda Kiyomi, Saitou Miyako, Tanaka Sayuri
The Section of Chest Surgery, Fukujuji Hospital, Kiyose, Tokyo.
Kyobu Geka. 2013 Dec;66(13):1141-4.
Sclerosing hemangioma is unusual pulmonary tumor. During a routine care evaluation, an abnormal shadow was detected in the chest X-ray films of a 38-year-old woman. Chest computed tomography scanning showed a nodule, 3.9 cm in diameter, in the left S6 pulmonary segment. Bronchoscopy performed before the operation could not establish the diagnosis. Since low-grade malignant tumor wassuggested by frozen section analysis at surgery, segmentectomy of left S6 and sampling of interlober lymph node were performed. The tumor was diagnosed as a plmonary sclerosing hemangioma. Metastatic leasion in the interlober lymph node was pathologically confirmed.
硬化性血管瘤是一种罕见的肺部肿瘤。在一次常规护理评估中，一名38岁女性的胸部X光片检测到异常阴影。胸部计算机断层扫描显示左肺S6段有一个直径3.9厘米的结节。术前进行的支气管镜检查未能确诊。由于手术中的冰冻切片分析提示为低度恶性肿瘤，遂行左S6段切除术及叶间淋巴结取样。肿瘤被诊断为肺硬化性血管瘤。叶间淋巴结的转移灶经病理证实。
