Shimamura Junichi, Kiyoshima Moriyuki, Suzuki Hisashi, Kitahara Miyuki, Asato Yuji, Iijima Tatsuo, Amemiya Ryuta
Department of Surgery, Ibaraki Prefectural Central Hospital, 6528 Koibuchi, Kasama, Ibaraki, 309-1793, Japan.
Department of Pathology, Ibaraki Prefectural Central Hospital, Ibaraki, Japan.
Gen Thorac Cardiovasc Surg. 2015 Nov;63(11):623-6. doi: 10.1007/s11748-013-0367-5. Epub 2014 Jan 8.
An asymptomatic 39-year-old woman was referred to us for an abnormal nodular opacity detected on the chest X-ray. Histopathological and further examinations revealed findings consistent with epithelioid hemangioendothelioma (EHE) originating from the chest wall with metastases to the ribs. Complete excision was performed; however, adjuvant chemotherapy was not administered because of the patient's mental disorder. There are very few reports of EHE arising from the chest wall; therefore, we present this case report with the clinicopathological features of EHE and discuss the therapeutic aspects.
一名39岁无症状女性因胸部X线检查发现异常结节状阴影转诊至我院。组织病理学及进一步检查结果显示符合起源于胸壁并转移至肋骨的上皮样血管内皮瘤(EHE)。进行了完整切除;然而,由于患者存在精神障碍,未给予辅助化疗。胸壁起源的EHE报道极少;因此,我们呈现此病例报告并阐述EHE的临床病理特征,同时讨论治疗方面的问题。