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肺原发性血管周上皮样细胞瘤:一例报告

Primary Perivascular Epithelioid Cell Tumor of the Lung: A Case Report.

作者信息

Na Hye Rim, Suh Jong Hui, Lee Jiyun

机构信息

Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Department of Thoracic and Cardiovascular Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.

出版信息

J Chest Surg. 2023 Sep 5;56(5):367-370. doi: 10.5090/jcs.22.139. Epub 2023 Mar 15.

DOI:10.5090/jcs.22.139
PMID:36918519
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10480400/
Abstract

Perivascular epithelioid cell tumors (PEComas) are very rare mesenchymal neoplasms, composed of histologically and immunohistochemically distinctive cells that form a sheet-like appearance around vessel lumens. Although most are benign, a malignant subset does exist, complicating clinical diagnostic efforts. Proper evaluation and management are thus essential for long-term patient survival. Herein, we present a rare case of a benign pulmonary PEComa that was diagnosed postoperatively in a 45-year-old woman.

摘要

血管周上皮样细胞瘤(PEComas)是非常罕见的间叶性肿瘤,由组织学和免疫组化上独特的细胞组成,这些细胞在血管腔周围形成片状外观。虽然大多数是良性的,但确实存在恶性亚型,这使临床诊断工作变得复杂。因此,正确的评估和管理对于患者的长期生存至关重要。在此,我们报告一例罕见的良性肺PEComa病例,该病例是在一名45岁女性患者术后确诊的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6119/10480400/8a66e45b0e32/jcs-56-5-367-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6119/10480400/24d2f54aed91/jcs-56-5-367-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6119/10480400/7c982c9fd4e9/jcs-56-5-367-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6119/10480400/8a66e45b0e32/jcs-56-5-367-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6119/10480400/24d2f54aed91/jcs-56-5-367-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6119/10480400/7c982c9fd4e9/jcs-56-5-367-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6119/10480400/8a66e45b0e32/jcs-56-5-367-f3.jpg

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引用本文的文献

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Case Report: Malignant perivascular epithelioid cell tumor with aggressive mediastinal invasion and pulmonary metastasis.病例报告:恶性血管周上皮样细胞肿瘤伴侵袭性纵隔侵犯及肺转移。
Front Oncol. 2025 Aug 18;15:1551663. doi: 10.3389/fonc.2025.1551663. eCollection 2025.

本文引用的文献

1
Soft Tissue Sarcoma, Version 2.2022, NCCN Clinical Practice Guidelines in Oncology.软组织肉瘤,第 2.2022 版,NCCN 肿瘤学临床实践指南。
J Natl Compr Canc Netw. 2022 Jul;20(7):815-833. doi: 10.6004/jnccn.2022.0035.
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Malignant perivascular epithelioid cell tumor of the lung synchronous with a primary adenocarcinoma: one case report and review of the literature.肺恶性血管周上皮样细胞肿瘤合并原发性腺癌:一例报告并文献复习。
BMC Cancer. 2019 Mar 15;19(1):235. doi: 10.1186/s12885-019-5383-0.
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Spindle cell subtype of pulmonary clear cell tumor with prominent calcification and malignant potential.
具有显著钙化和恶性潜能的肺透明细胞肿瘤的梭形细胞亚型。
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Clear cell "sugar" tumor of the lung: benign or malignant?肺透明细胞“糖”瘤:良性还是恶性?
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Uncommon of the uncommon: malignant perivascular epithelioid cell tumor of the lung.罕见中的罕见:肺恶性血管周上皮样细胞瘤。
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J Clin Oncol. 2010 Nov 1;28(31):e626-8. doi: 10.1200/JCO.2010.29.6939. Epub 2010 Aug 30.
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PEComa of the lung.肺血管周上皮样细胞瘤
J Cancer Res Ther. 2010 Jan-Mar;6(1):109-11. doi: 10.4103/0973-1482.63548.
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Perivascular epithelioid cell neoplasms: pathology and pathogenesis.血管周上皮样细胞瘤:病理学与发病机制
Hum Pathol. 2010 Jan;41(1):1-15. doi: 10.1016/j.humpath.2009.05.011. Epub 2009 Jul 15.
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Metastatic PEComa to the brain.
Acta Neuropathol. 2006 Sep;112(3):349-51. doi: 10.1007/s00401-006-0105-5. Epub 2006 Jul 15.