Primary pulmonary epithelioid hemangioendothelioma

被引:3
作者
Jang, Yong Ching [1 ]
Hung, Wei-Chien [2 ]
Su, Tzu-Cheng [3 ]
Wu, Wen-Pei [1 ,4 ,5 ]
机构
[1] Changhua Christian Hosp, Dept Med Imaging, Changhua, Taiwan
[2] Changhua Christian Hosp, Dept Neurol, Changhua, Taiwan
[3] Changhua Christian Hosp, Dept Pathol, Changhua, Taiwan
[4] Natl Yang Ming Chiao Tung Univ, Dept Biomed Imaging & Radiol Sci, Taipei, Taiwan
[5] Changhua Christian Hosp, Changhua, Taiwan
关键词
Cancer; Lung cancer (oncology); Cardiothoracic surgery; FINE-NEEDLE-ASPIRATION; SURGICAL RESECTION; CT FINDINGS; LUNG; TUMOR; EXPRESSION; COUGH; LIVER; CHEMOTHERAPY; METASTASIS;
D O I
10.1136/bcr-2023-254915
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Pulmonary epithelioid hemangioendothelioma (PEH) is a rare tumour of vascular origin with low to intermediate malignancy. Typical radiological finding on CT is multiple small nodules in bilateral lungs, and some will have punctate calcifications and pleural thickening. The diagnosis of PEH is confirmed by histopathological findings and positive immunohistochemistry staining. We report a case of a woman in her 50s with a medical history of lung adenocarcinoma. Later, regular chest CT during a routine cancer follow-up revealed multiple small pulmonary nodules and increased sizes of these nodules on serial images, initially misdiagnosed as multiple lung metastases. The histopathological diagnosis was made on a pulmonary wedge resection. Finally, PEH was diagnosed on the basis of positive immunohistochemical staining for CD31, ERF and TFE3. In the current study, the clinicopathological features and review of the literature were investigated. Our case highlights the importance of a histological diagnosis to avoid misdiagnosis.
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页数:7
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