头皮血管肉瘤肺转移1例  

To report 1 case lung metastasis from hemangiosarcoma of the scalp.

作　　者：宋雅敏[1] 刘皓[1] 张素娟[1] 潘顺全[1] 

机构地区：[1]常州市第一人民医院,江苏常州213003

出　　处：《现代保健（医学创新研究）》2007年第11X期7-9,共3页

摘　　要：目的了解头皮血管肉瘤肺转移的临床及病理表现。方法总结收治的1例头皮血管肉瘤肺薄壁囊性转移并发气胸患者的临床病理资料，结合相关的文献进行分析。结果该病病因不清，临床症状主要为干咳、血痰、进行性呼吸困难，影像学检查主要表现为双肺多发性薄壁囊肿且进展快并伴液气胸，病理检查显示肿瘤中有不规则血管构成，内衬异形增生内皮细胞，细胞呈梭形，核仁明显．可见核分裂相。结论头皮血管肉瘤肺薄壁囊性转移非常罕见，结合胸部CT及病理检查可确诊。Objective To describe the clinical and pathological features of lung metastasis from hemangiosarcoma of the scalp. Methods The pathological data of a patient were studied, and the literature was reviewed. Results The etiology of this disease remains unknown. Symptoms are nonproductive cough （NPC） ,bloody sputum and progressive dyspnea. Chest radiograph or computed tomography usually reveals multiple cystis are founded in two lungs which develope quickly to hydropneumothorax, meanwhile the pathological data reveals anomal blood vessel compositions which are accompanied by obform hyperplasy endothelial cells（ECs） are founded in tumors, and these Ecs are in fusiform shape in which nucleous are obvious and karyogenetic division are founded. Conclusions Lung metastasis from hemangiosarcoma of the scalp is rare and can be diagnosed by chest CT and histopathology.

关 键 词：血管肉瘤 肿瘤转移 肺 

分 类 号：R73-37[医药卫生—肿瘤]