肺硬化性血管瘤24例临床分析并文献复习  

Clinical analysis of 24 patients with pulmonary sclerosing hemangioma

作　　者：沈旦[1] 黄建安[1] 张秀琴[1] 冯薇[1] 

机构地区：[1]苏州大学附属第一医院呼吸内科,江苏苏州215006

出　　处：《临床肺科杂志》2013年第8期1465-1467,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的提高对肺硬化性血管瘤的诊治水平。方法收集本院经病理确诊为肺硬化性血管瘤患者的病例资料,对其临床表现、肺部影像学、病理结果、手术方式、预后等进行综合分析,并结合相关文献复习。结果 24例患者中,年龄15～75岁。16例(66.67%)患者无任何症状,系体检发现,其余患者表现为咳嗽(18.18%),咳痰(12.5%)、痰中带血(8.33%)等非特异性症状。影像学上表现为外周圆形或椭圆形阴影,其中诊断恶性病变9例,2例双肺多发病灶考虑肺癌伴肺内转移。24例患者中行肿块切除术9例,锲形切除5例,肺叶切除8例,肺癌根治术2例。所有患者术后常规病理均提示硬化性血管瘤。18例患者随访至今未出现肿瘤相关的复发或转移。结论肺硬化性血管瘤是一种少见的良性肿瘤,女性好发,通常无症状,术前确诊困难,手术切除是诊断和治疗的有效方法,预后良好。Objective To improve the level of diagnosis and treatment of pulmonary sclerosing hemangioma（PSH）.Methods The clinical data of 24 patients with PSH were collected to analyze their clinical features,lung imaging,pathology,treatment and prognosis.Results There were five male and nineteen female patients aged from 15 to 75 years old.Most of them（66.67%） showed asymptomatic and the rest non-special symptoms included cough（18.18%）,expectoration（12.5%） and blood-stained sputum（8.33%）.The image examination showed round or ovoid masses at peripheral region of lung.Nine patients were diagnosed as malignancy and two of them with multiple masses were considered as primary lung cancer with contralateral pulmonary metastasis.9 patients received lumpectomy,and the other surgery included wedge resection resection,lobectomy and radical surgery.The routine pathology was diagnosed as PSH after operation.There was no PSH relapse or metastasis in eighteen patients who were followed-up.Conclusion PSH is considered as a rare benign tumor with high incidence in women,and most patients with PSH are asymptomatic.The prognosis of PSH is favorable but it is hard to diagnose PSH before surgery,which is necessary to diagnose and treat PSH.

关 键 词：肺硬化性血管瘤 临床特点 手术 预后 

分 类 号：R734.2[医药卫生—肿瘤]