Nagata N, Takatsu H, Sato Y, Yoshimatsu T, Urabe M, Kido M
Division of Respiratory Disease, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Respiration. 1999;66(1):78-80. doi: 10.1159/000029343.
We report a case of a pulmonary epithelioid hemangioendothelioma presenting as a solitary pulmonary nodule with subsequent systemic spread, including histologically documented gingival metastasis. Chest radiography and computed tomography at initial evaluation showed a solitary 2 cm pulmonary nodule, associated with pleural indentation and vascular convergence. The tumor later spread systemically, including multiple pulmonary nodules, bilateral pleural effusions, and gingival swelling and erosion. A biopsy of the gingival lesion showed histologic features identical to that of the lung biopsy.
我们报告一例肺上皮样血管内皮瘤，最初表现为孤立性肺结节，随后发生全身转移，包括组织学证实的牙龈转移。初次评估时的胸部X线和计算机断层扫描显示一个2 cm的孤立性肺结节，伴有胸膜凹陷和血管集束征。肿瘤随后发生全身转移，包括多个肺结节、双侧胸腔积液以及牙龈肿胀和糜烂。牙龈病变活检显示组织学特征与肺活检相同。
