上皮样血管内皮瘤--右胸腔积液和多发性原发性结节的罕见病因:病例报告与文献综述。

JRSM Open Pub Date : 2023-08-07 eCollection Date: 2023-08-01 DOI:10.1177/20542704231188569
Ryan Bashir Mohamed, Monica Shehata, William Gorman, Abdullah AlShammari, Silviu Buderi, Simon Jordan
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引用次数: 0

摘要

肺上皮样血管内皮瘤(PEH)是一种罕见的血管肿瘤。这种疾病的胸部表现可通过三种主要成像模式来确定,即多发性原发结节、弥漫浸润性胸膜增厚和多发性肺网状不透明。最常见的表现形式是双侧多发结节。诊断以组织病理学结果为依据,并通过免疫化学染色阳性进行验证。PEH 患者通常没有症状。我们报告了一例 51 岁女性的病例,她因咳嗽、胸膜结节和胸腔积液 5 个月的病史来我院就诊。她接受了手术冲洗和右侧胸膜活检,结果显示她患上了恶性上皮样肿瘤,并具有上皮样血管内皮瘤(EH)的特征。治疗后的 CXR 检查未发现残余胸腔积液。
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Epithelioid haemangioendothelioma-a rare cause of right pleural effusion and multiple primary nodules: Case report & review of the literature.

Pulmonary epithelioid haemangioendothelioma (PEH) is a rare vascular neoplasm. The thoracic manifestation of this disorder is identified via three major imaging patterns, namely multiple primary nodules, diffuse infiltrative pleural thickening, and multiple pulmonary reticulonodular opacities. The commonest pattern of presentation is bilateral multiple nodules. Diagnosis is based on histopathological findings and verified by positive immunochemistry staining. Patients with PEH are usually asymptomatic. We report the case of a 51-year-old female who presented to our facility with a five-month history of cough, pleural nodularity, and pleural effusion. She underwent surgical washout with right pleural biopsies that showed a malignant epithelioid tumor with features of epithelioid haemangioendothelioma (EH). A CXR after treatment did not demonstrate a residual pleural effusion.

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来源期刊
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发文量
16
审稿时长
12 weeks
期刊介绍: JRSM Open is a peer reviewed online-only journal that follows the open-access publishing model. It is a companion journal to the Journal of the Royal Society of Medicine. The journal publishes research papers, research letters, clinical and methodological reviews, and case reports. Our aim is to inform practice and policy making in clinical medicine. The journal has an international and multispecialty readership that includes primary care and public health professionals.
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