肺硬化性血管瘤11例临床及病理分析

A clinical and pathological study of sclerosing hemangiomas of lung(11 cases report)

目的 :探讨肺硬化性血管瘤的临床表现、诊断方法、病理特征、治疗手段及预后。方法 :对 11例经病理证实的肺硬化性血管瘤的临床资料进行回顾性分析。结果 :11例中男 1例 ,女 10例。胸片表现为肺内圆形或类圆形孤立性肿块或结节 ,边缘光滑 ,密度均匀 ,偶有浅分叶。瘤体Φ =2 2cm～ 6 8cm ,平均 3 2cm。CT显示肿瘤边界清晰 ,密度均匀 ,可见点状钙化和特征性“含气新月征”。仅 1例术前行穿刺活检病理确诊 ,余均为术后经病理证实。手术方式包括肺楔形切除术 6例 ,肺叶切除术 5例 ,无手术并发症。术后随访 1a～ 10a未见复发。结论 :肺硬化性血管瘤好发于女性 ,临床不易诊断。影像学检查 ,特别是CT扫描是重要的检查手段。

Objective:To investigate the clinical and pathological features,diagnosis and therapy of the sclerosing hemangiomas of lung (SHL).Methods:11 patients with SHL proved by pathology were reviewed. Results:In 11 patients,10 cases were female and 1 male.The features of chest roentgenogram were solitary round /nearly round mass or nodule with smooth margin,sometimes with slight lobulation.The largest tumor was 6.8 cm and the smallest tumor was 2.2 cm in diameter (an average was 3.2 cm).By CT scan,tumors showed clear boundary,homogeneous density,fleck like calcification and the characteristic “air meniscus sign”.Only 1 case has been diagnosed correctly preoperation,the others have been diagnosed postoperation.Surgical procedures were wedge resection in 6 cases and lobectomy in 5. There was no surgical morbidity. No recurrence was found after operation 1 10 years.Conclusion:SHL usually occur in female and not easy to diagnosis.The imaging finding,especially CT scan,is very important for diagnosis.Operation is of good therapeutic result.