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目的探讨肺硬化性血管瘤临床表现特点、诊断及治疗,提高对本病的认识。方法对18例肺硬化性血管瘤病例临床资料回顾性分析,并复习相关文献。结果 18例均石蜡病理切片确诊为肺硬化性血管瘤,男2例,女16例。发病年龄18~56岁,平均41.6岁。12例系体检发现,6例因各种症状就诊,其中咳嗽4例,咳嗽并胸痛1例,痰中带血1例。影像学多表现为肺周边单个孤立的圆形或类圆形结节,边界清楚,密度均匀,部分点状钙化。18例均手术治疗,8例肺叶切除,1例肺楔形切除,9例肿瘤摘除。无手术并发症及手术死亡。随访期间患者无肿瘤复发及转移。结论肺硬化性血管瘤临床及影像学检查缺乏特异性,确诊需外科病理检查。中年女性,出现肺部周边孤立、边界清楚、密度均匀的圆或椭圆形结节,无论有或无临床症状,应考虑到此病,并积极手术治疗。
Objective To investigate the clinical manifestations, diagnosis and treatment of pulmonary sclerosing hemangioma and to raise awareness of the disease. Methods The clinical data of 18 cases of pulmonary sclerosing hemangioma were retrospectively analyzed and the related literatures were reviewed. Results 18 cases were paraffin pathological diagnosis of pulmonary sclerosing hemangiomas, 2 males and 16 females. Age of onset 18 to 56 years old, with an average of 41.6 years old. Of the 12 cases, physical examination found that 6 cases were treated by various symptoms, including cough in 4 cases, cough and chest pain in 1 case, sputum bloody in 1 case. Imaging performance for the lung around a single isolated round or round nodules, clear boundaries, uniform density, part of the dot-like calcification. Eighteen patients were treated by surgery, eight cases of lobectomy, one case of wedge resection and nine cases of tumor removal. No surgical complications and surgical death. During the follow-up period, there was no tumor recurrence and metastasis. Conclusions The clinical and imaging examination of pulmonary sclerosing hemangioma lacks specificity. The diagnosis of pulmonary sclerosing hemangioma requires surgical pathological examination. Middle-aged women, isolated around the lungs, clear boundaries, uniform density of round or oval nodules, with or without clinical symptoms, should take into account the disease, and active surgical treatment.