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相關文獻
- Multiple Disseminated Sclerosing Hemangiomas of the Lungs
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頁籤選單縮合
題名 | Multiple Disseminated Sclerosing Hemangiomas of the Lungs=瀰漫性多發肺硬化性血管瘤 |
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作者 | 林彥甫; 簡志峯; 張晨光; 林信仲; 徐先和; 彭萬誠; Lin, Yen-fu; Chian, Chih-feng; Chang, Cheng-kuang; Lin, Hsin-chung; Hsu, Hsian-he; Perng, Wann-cherng; |
期刊 | 胸腔醫學 |
出版日期 | 20130600 |
卷期 | 28:3 2013.06[民102.06] |
頁次 | 頁179-185 |
分類號 | 415.46 |
語文 | eng |
關鍵詞 | 硬化性血管瘤; 瀰漫性結節; Sclerosing hemangioma; Disseminated nodules; |
中文摘要 | 硬化性血管瘤(Sclerosing hemangioma)是肺部相對較少見的良性腫瘤,常見於40幾歲無症狀的中年女性,其典型呈現是位於肺部周邊單顆邊緣清楚的結節,而多發性結節表現的硬化性血管瘤是非常少見的,佔所有肺部硬化性血管瘤約4-5%的發生率。我們報告一位44歲無症狀的女性,於例行的胸部X光檢查發現兩側肺部有數顆小結節影合併輕微間質線條增厚; 肺部電腦斷層於兩側所有的肺葉呈現多處瀰漫性類似惡性腫瘤散佈的結節,在未知原發病灶的情形下,為了得到更進一步的確切診斷,病患接受了右上肺楔狀切除手術,其病理上的結果診斷為硬化性血管瘤; 在術後追蹤的4年間雖未接受任何治療,臨床與影像檢查並無新的變化。回顧以多發性結節表現的硬化性血管瘤文獻上,大部分的結節數小於3顆、直徑大小介於1到3公分之間、且侷限於局部的肺葉。而我們報告的個案是以無數小於直徑1公分的結節散佈於兩側所有的肺葉來表現,這種表現是至今沒有被報告過的。雖然多發性肺硬化性血管瘤不常見,但臨床影像上遇到多處瀰漫性似粟粒般結節表現時,仍須想到硬化性血管瘤的可能性,且此種發現並不代表預後較差。 |
英文摘要 | Sclerosing hemangioma (SH) is a relatively rare, benign neoplasm of the lung. The characteristic features of SH include asymptomatic, peripheral, solitary, well-circumscribed nodules in women aged around 40 years. The pattern of multiple nodules is rare, with an incidence of 4-5% in pulmonary SH. We present the case of a 44-year-old asymptomatic woman who had undergone chest roentgenography that revealed numerous small nodular opacities with slight thickening along the interstitial lines in both the lungs during a regular examination; her chest computed tomography scan revealed innumerable diffuse nodules that mimicked disseminated malignant lesions in all lobes of both the lungs. In this case,s in which no primary lesion was detected, we performed wedge resection of the right upper lobe to establish a definitive diagnosis; histological analysis of the resected tissue confirmed SH. Follow-up data of 4 years suggested that SH in this case wasis indolent without treatment. A review of previously reported cases with multiple nodules suggested that fewerless than 3 nodules of around 1 cm to 3 cm were observed in a limited number of lobes. However, we report, for the first time, a case with innumerable diffuse nodules less than 1 cm in diameter, spreading in all lobes of both the lungs. Although the incidence of multiple SH is very low, itthese should be considered when evaluating any patient with multiple diffuse miliary-like nodules. HoweverFurther, these findings do not indicate an unfavorable outcome. |
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