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原发性肺血管外皮细胞瘤是极少见的恶性肿瘤。1979年Shin等报告2例,并收集了34例在文献发表。国内曾报道5例,近5年我科收治2例,报道如下。 例1,男,54岁,主诉胸痛,咳嗽,痰带血4个月,胸片见左肺门4×4 cm肿块,块影边界清楚,断层示密度均匀,略呈分叶状,无钙化。痰细胞学阴性,支气管镜发现左肺下叶开口受压,粘膜红肿,开胸探查见左肺下叶肿瘤与胸壁粘连,切除左肺下叶,病理证实恶性血管外皮细胞瘤。术后2
Primary pulmonary hemangiopericytoma is a rare malignant tumor. Shin et al. reported 2 cases in 1979 and 34 cases were published in the literature. In China, 5 cases have been reported. In the past 5 years, 2 cases were treated in our department. The report is as follows. Example 1, male, 54 years old, complained of chest pain, cough, sputum with blood for 4 months. The chest radiograph showed a 4x4 cm mass in the left hilum. The block shadows had clear boundaries. The faults showed uniform density, slightly lobulated, and no calcification. . The sputum cytology was negative. Under the bronchoscope, the opening of the left lower lobe was under pressure, and the mucosa was red and swollen. The thoracolumbar exploration revealed left lower lobe tumor adhesion to the chest wall. The left lower lobe was removed and pathologically confirmed by malignant hemangiopericytoma. Postoperative 2