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与肺部上皮状血管肉瘤相关的扩散膜出血:一个具有挑战性的诊断

Felix Wuest¹, Andreas Gebhardt¹, Claudia Grosswendt²

¹Department of Pneumology, Lungenklinik Heckeshorn, Helios Klinikum Emil von Behring, Walterhoeferstrasse 11 14165 Berlin, Germany.

Case reports in pulmonology

|June 26, 2023

概括

本病例报告详细介绍了一种罕见的表皮状血管肉瘤,呈现为扩散膜出血 (DAH). 早期诊断不常见的DAH原因需要彻底调查和足够的组织采样,以进行有效的治疗.

科学领域:

肺部病理学肺部病理学
在瘤学瘤学.
病理学病理学病理学

背景情况:

扩散膜出血 (DAH) 呈现出各种病因,往往需要广泛的诊断评估.
表皮性血管肉瘤是一种非常罕见的恶性瘤,主要的肺部参与非常罕见.

研究的目的:

报告一个独特的肺部双焦结节性表皮状血管肉瘤病例,呈现为DAH.
强调在具有挑战性的DAH病例中考虑罕见诊断的重要性.

主要方法:

一名68岁的患有血和体重减轻的患者接受了CT扫描,支气管镜检查和视频辅助切除.
切除的肺组织的组织病理学检查证实了诊断.

主要成果:

CT显示了分散的双边地面玻璃不透明度和结节.
支气管镜检查对DAH诊断没有确定性.
手术切除和随后的组织学最终诊断出肺部的双焦性表皮状血管肉瘤.

结论:

表皮状血管肉瘤可以表现为DAH,强调需要考虑不常见的原因.
足够的诊断采样,包括必要时的手术切除,对于诊断呈现为DAH的罕见肺癌至关重要.

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