CT-guided Biopsy for the Diagnosis of Pulmonary Epithelioid Hemangioendothelioma Mimicking Metastatic Lung Cancer

被引：8

作者：

Sasaki, Akiko ^{[1
]}

Egashira, Hideto ^{[1
]}

Sugimoto, Hideyasu ^{[2
]}

Seki, Kenichi ^{[3
]}

Tsukiyama, Toshitaka ^{[4
]}

Ichita, Chikamasa ^{[1
]}

Tokoro, Shinnosuke ^{[1
]}

Takizawa, Satoshi ^{[4
]}

Kitagawa, Lzumi ^{[3
]}

Teshime, Shinichi ^{[5
]}

Kako, Makoto ^{[1
]}

机构：

[1] Shonan Kamakura Gen Hosp, Gastroenterol Med Ctr, Kamakura, Kanagawa, Japan

[2] Shonan Kamakura Gen Hosp, Pulmonol, Kamakura, Kanagawa, Japan

[3] Shonan Kamakura Gen Hosp, Gen Internal Med, Kamakura, Kanagawa, Japan

[4] Shonan Kamakura Gen Hosp, Intervent Radiol IVR & Radiol, Kamakura, Kanagawa, Japan

[5] Shonan Kamakura Gen Hosp, Diagnost Pathol, Kamakura, Kanagawa, Japan

来源：

INTERNAL MEDICINE | 2018年 / 57卷 / 24期

关键词：

thoracoscopic biopsy; multiple lung nodules; vascular tumor; minimally invasive procedure; ASSISTED THORACOSCOPIC SURGERY; NEEDLE-BIOPSY; RESECTION; NODULES; LESIONS; SAFETY;

D O I：

10.2169/internalmedicine.1063-18

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 69-year-old male patient presented with multiple lung nodules revealed by chest-computed tomography (CT) during a preoperative examination for an appendiceal tumor. The nodule diameters ranged from 2-10 mm without either pleural thickening or effusions. A fluorine-18-labeled fluorodeoxyglucose (F-18-FDG)-positron emission tomography (PET)/CT scan showed a high FDG uptake in the appendiceal tumor, but almost normal standardized uptake values in the bilateral lung nodules. A CT-guided biopsy led to a diagnosis of pulmonary epithelioid hemangicendothelioma, a rare vascular tumor with a radiological presentation similar to that of a metastatic lung tumor. The present case is the first to describe successful treatment using a CT-guided biopsy instead of more conventional methods.

引用

页码：3631 / 3635

页数：5

共 32 条

[1] Primary Pulmonary Epithelioid Hemangioendothelioma: A Rare Cause of PET-Negative Pulmonary Nodules [J].

Cazzuffi, Riccardo ;

Calia, Nunzio ;

Ravenna, Franco ;

Pasquini, Claudio ;

Saturni, Sara ;

Cavallesco, Giorgio Narciso ;

Quarantotto, Francesco ;

Rinaldi, Rosa ;

Cogo, Annaluisa ;

Caramori, Gaetano ;

Papi, Alberto .

CASE REPORTS IN MEDICINE, 2011, 2011

[2] CT-guided cutting needle biopsy of lung lesions - Safety and efficacy of an out-patient service [J].

Charig, MJ ;

Phillips, AJ .

CLINICAL RADIOLOGY, 2000, 55 (12) :964-969

[3]

DAIL D, 1975, AM J PATHOL, V78, pA6

[4]

Endo M, 1999, Jpn J Lung Cancer, V39, P821

[5]

Ergun E L, 2006, Rev Esp Med Nucl, V25, P188, DOI 10.1157/13088416

[6] Detection of a pulmonary epithelioid hemangioendothelioma by FDG PET scan [J].

Fagen, K ;

Silverman, ED ;

Cole, RL .

CLINICAL NUCLEAR MEDICINE, 2004, 29 (11) :758-759

[7]

Hanada Nobuhide, 2003, Nihon Kokyuki Gakkai Zasshi, V41, P144

[8] Prospective study on video-assisted thoracoscopic surgery in the resection of pulmonary nodules:: 209 cases from the Spanish Video-Assisted Thoracic Surgery Study Group [J].

Jiménez, MF .

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2001, 19 (05) :562-565

[9] CT-guided transthoracic needle biopsy of pulmonary nodules smaller than 20 mm: Results with an automated 20-gauge coaxial cutting needle [J].

Laurent, F ;

Latrabe, V ;

Vergier, B ;

Montaudon, M ;

Vernejoux, JM ;

Dubrez, J .

CLINICAL RADIOLOGY, 2000, 55 (04) :281-287

[10] Diagnostic accuracy and safety of CT-Guided percutaneous needle aspiration biopsy of the lung: Comparison of small and large pulmonary nodules [J].

Li, HQ ;

Boiselle, PM ;

Shepard, JAO ;

TrotmanDickenson, B ;

McLoud, TC .

AMERICAN JOURNAL OF ROENTGENOLOGY, 1996, 167 (01) :105-109

← 1 2 3 4 →