多发性肺硬化性血管瘤伴空洞:病例报告与文献综述

IF 1.1 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Current Medical Imaging Reviews Pub Date : 2024-10-28 DOI:10.2174/0115734056338122241018042107
Yan Li, Fangbiao Zhang, Zhijun Wu, Yan Wu
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引用次数: 0

摘要

目的:肺硬化性血管瘤(PSH)是一种较为少见的良性肿瘤,通常无症状,主要侵犯中青年女性。PSH 常表现为单发结节,而多发病变伴有空洞的情况相对少见,且容易误诊:在我们的研究中,我们报告了一名在同一肺叶出现分隔结节并伴有空洞的患者,其临床表现为咳嗽和咳痰,影像学表现与肺结核相似。患者接受了经皮肺活检和胸腔镜下部分肺切除术,并被确诊为多发性 PSH:我们报告了一例罕见的多发性 PSH 病例,患者接受了胸腔镜下左上肺叶部分切除术。术后病理证实为多发性 PSH。由于 PSH 的罕见性,在临床实践中很容易被误诊为肺癌、肺结核或其他疾病。最终诊断取决于病理结果,手术被认为是预后良好的适当治疗方法。
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Multiple Pulmonary Sclerosing Haemangiomas with a Cavity: A Case Report and Review of the Literature.

Objective: Pulmonary sclerosing haemangioma (PSH) is a relatively uncommon benign neoplasm that is often asymptomatic and predominantly affects young and middle-aged females. PSH often appears as a single nodule, whereas multiple lesions with a cavity are relatively rare and easily misdiagnosed.

Case presentation: In our study, we report a patient with separated nodules in the same lobe with a cavity and clinical manifestations of cough and sputum with a radiographic presentation similar to that of tuberculosis. The patient underwent percutaneous lung biopsy and thoracoscopic partial pneumonectomy and was diagnosed with multiple PSHs.

Conclusion: We report a rare case of multiple PSHs that were treated with a thoracoscopic partial resection of the left upper lobe. Postoperative pathology confirmed multiple PSHs. Due to the rarity of PSH, it is easily misdiagnosed in clinical practice as lung cancer, tuberculosis, or other diseases. The final diagnosis depends on the pathology, and surgery is considered to be an appropriate treatment that leads to a good prognosis.

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来源期刊
CiteScore
2.60
自引率
0.00%
发文量
246
审稿时长
1 months
期刊介绍: Current Medical Imaging Reviews publishes frontier review articles, original research articles, drug clinical trial studies and guest edited thematic issues on all the latest advances on medical imaging dedicated to clinical research. All relevant areas are covered by the journal, including advances in the diagnosis, instrumentation and therapeutic applications related to all modern medical imaging techniques. The journal is essential reading for all clinicians and researchers involved in medical imaging and diagnosis.
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