Patrini Davide, Shukla Rajeev, Lawrence David, Borg Elaine, Hayward Martin, Panagiotopoulos Nikolaos
Department of Thoracic Surgery, University College London Hospitals (UCLH), London UK.
Department of Histopathology, University College London Hospitals (UCLH), London UK.
Respir Med Case Rep. 2015 Dec 20;17:20-3. doi: 10.1016/j.rmcr.2015.12.005. eCollection 2016.
Sclerosing Hemangioma is a rare lung tumor with polymorphic histologic features that usually occurs in middle aged women. Based on many immunohistochemical and ultrastructural studies, it is most probably derived from undifferentiated respiratory epithelial cells. Symptoms are usually due to enlargement of the tumor and compression of the surrounding tissues. Occurrence of multiple lesions or metastasis is extremely rare although some authors consider sclerosing hemangioma as a potentially low grade malignancy tumor. It usually presents with low to moderate uptake on FDG PET imaging. We present a case of sclerosing hemangioma with strong FDG avidity on PET scan in a 41 year old lady with history of haemoptysis. A full review of the literature on this topic was performed.
硬化性血管瘤是一种罕见的肺部肿瘤,具有多形性组织学特征,通常发生于中年女性。基于多项免疫组化和超微结构研究,其很可能起源于未分化的呼吸上皮细胞。症状通常是由于肿瘤增大及周围组织受压所致。尽管一些作者认为硬化性血管瘤是一种潜在的低级别恶性肿瘤,但出现多发病灶或转移极为罕见。它在FDG PET成像上通常表现为低到中度摄取。我们报告一例41岁有咯血病史的女性,其硬化性血管瘤在PET扫描上表现为强烈的FDG摄取。我们对该主题的文献进行了全面回顾。