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一名23岁女性患者的右肺多发性硬化性血管瘤:病例报告及文献复习

Multiple sclerosing hemangioma of the right lung in a 23-year-old female patient: A case report and review of the literature.

作者信息

Luo Han, Ma Lijie, Chen Yihua, Zhang Tingxiu, Peng Daqing, Li Zhiwei, Dan Xiaoping, Xiao Zhenliang, Chen Zhang

机构信息

Department of Pulmonary and Critical Care Medicine, General Hospital of Western Theater Command, Chengdu, Sichuan 610083, P.R. China.

Department of Pathology, General Hospital of Western Theater Command, Chengdu, Sichuan 610083, P.R. China.

出版信息

Mol Clin Oncol. 2020 Mar;12(3):263-267. doi: 10.3892/mco.2020.1986. Epub 2020 Jan 22.

Abstract

Pulmonary sclerosing hemangioma (PSH) is a relatively uncommon benign tumor of the lung, predominantly affecting young and middle-aged women. In the majority of the patients, PSH is incidentally found on physical examination and typically presents as a solitary nodule with smooth borders, as it is generally asymptomatic or lacks typical symptoms. In the present case, a 23-year-old woman was incidentally diagnosed with pulmonary nodules during routine physical examination and reported suffering from intermittent fevers for >2 months. The patient received antituberculosis therapy for 1 year; however, a computed tomography imaging examination revealed that the lesions had progressed. Finally, the patient underwent thoracoscopic lung biopsy followed by histopathological examination and the lesions were diagnosed as multiple sclerosing hemangioma. The aim of the present study was to review the relevant literature in order to improve our understanding of PSH.

摘要

肺硬化性血管瘤(PSH)是一种相对罕见的肺良性肿瘤,主要影响中青年女性。在大多数患者中,PSH是在体格检查时偶然发现的,通常表现为边界光滑的孤立结节,因为它一般无症状或缺乏典型症状。在本病例中,一名23岁女性在常规体格检查时偶然被诊断为肺结节,并报告有持续2个月以上的间歇性发热。该患者接受了1年的抗结核治疗;然而,计算机断层扫描成像检查显示病变进展。最后,患者接受了胸腔镜肺活检及组织病理学检查,病变被诊断为多发性硬化性血管瘤。本研究的目的是回顾相关文献,以增进我们对PSH的了解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474c/7016522/1e43f59a0fe6/mco-12-03-0263-g00.jpg

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