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被误诊为良性结节的肺上皮样血管内皮瘤

Pulmonary epithelioid hemangioendothelioma misdiagnosed as a benign nodule.

作者信息

Kim Minah, Chang Jinsun, Choi Hayoung, Oh In-Jae, Park Chul-Kyu, Kim Young-Chul, Choi Yoo-Duk, Yun Ju-Sik, Song Sang-Yun, Na Kook-Joo

机构信息

Department of Internal Medicine, Chonnam National University Medical School, 671 Jebong-ro, Dong-gu, Gwangju, 501-757, Republic of Korea.

Lung and Esophageal Cancer Clinic, Chonnam National University Hwasun Hospital, 322 Seoyang-ro, Hwasun, Jeonnam, 519-809, Republic of Korea.

出版信息

World J Surg Oncol. 2015 Mar 14;13:107. doi: 10.1186/s12957-015-0518-5.

DOI:10.1186/s12957-015-0518-5
PMID:25889253
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4369077/
Abstract

Pulmonary epithelioid hemangioendothelioma (PEH) is a rare vascular tumor of borderline malignancy that originates from endothelial cells. Chest computed tomography (CT) performed during a routine cancer screening revealed multiple small pulmonary nodules in a 50-year-old man who had previously undergone endoscopic submucosal dissection of early gastric cancer. To rule out metastatic nodules, a wedge resection of the left upper lobe was performed and the frozen biopsy reported a benign fibrotic nodule. Using immunohistochemistry, the final pathology was indicated to be PEH, and consecutive surgery for the right-side nodules was planned and performed.

摘要

肺上皮样血管内皮瘤(PEH)是一种起源于内皮细胞的罕见的交界性恶性血管肿瘤。在一名50岁男性的常规癌症筛查中进行的胸部计算机断层扫描(CT)显示,该患者此前曾接受早期胃癌的内镜黏膜下剥离术,肺部有多个小结节。为排除转移瘤,对左上叶进行了楔形切除术,冰冻活检报告为良性纤维化结节。通过免疫组织化学检查,最终病理结果显示为PEH,并计划对右侧结节进行连续手术并实施了手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb3f/4369077/a99ad1619856/12957_2015_518_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb3f/4369077/aef6b21a8f8c/12957_2015_518_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb3f/4369077/a99ad1619856/12957_2015_518_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb3f/4369077/aef6b21a8f8c/12957_2015_518_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb3f/4369077/a99ad1619856/12957_2015_518_Fig2_HTML.jpg

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