Pulmonary sclerosing hemangioma （PSH）, a thoracic tumor, was first described by Liebow and Hubbell in 1956. Recently, immunohistochemical evidence and characterization of antibodies have clarified that PSHs are true...Pulmonary sclerosing hemangioma （PSH）, a thoracic tumor, was first described by Liebow and Hubbell in 1956. Recently, immunohistochemical evidence and characterization of antibodies have clarified that PSHs are true tumors. They are mainly composed of epithelial cells （Type II pneumocytes） aligned in different directions and accompanied by proliferation and reaction of other components.展开更多
目的探讨肺硬化性血管瘤诊断和外科治疗。方法回顾性分析我院1987~2002年33例(34个肿瘤)肺硬化性血管瘤的临床资料。男6例,女27例。年龄24~57岁,平均41.3岁。症状以痰中带血23例;无症状10例。影像学均表现为孤立性结节,其中5例有新月征...目的探讨肺硬化性血管瘤诊断和外科治疗。方法回顾性分析我院1987~2002年33例(34个肿瘤)肺硬化性血管瘤的临床资料。男6例,女27例。年龄24~57岁,平均41.3岁。症状以痰中带血23例;无症状10例。影像学均表现为孤立性结节,其中5例有新月征。结果术前28例诊断为肺良性肿瘤,其中5例考虑诊断为肺硬化性血管瘤;1例经皮肺穿刺确诊为肺硬化性血管瘤;4例误诊为肺癌。全组均行手术治疗,其中肺叶切除21例,双肺叶切除1例,肺段切除5例,楔形切除4例(其中1例为经胸腔镜双侧同期切除),肿瘤摘除2例。手术时间45 m in^3.5 h,平均1.5 h,出血量100~600m l,平均230 m l。无围术期死亡。33例随访3~10年,平均5.5年,无一例复发。结论对中年女性,痰中带血,影像学表现为孤立性结节,特别是有新月征者,应考虑本症。经皮肺穿刺病理学检查,可使部分患者确诊。手术治疗效果良好。展开更多
文摘Pulmonary sclerosing hemangioma （PSH）, a thoracic tumor, was first described by Liebow and Hubbell in 1956. Recently, immunohistochemical evidence and characterization of antibodies have clarified that PSHs are true tumors. They are mainly composed of epithelial cells （Type II pneumocytes） aligned in different directions and accompanied by proliferation and reaction of other components.
文摘目的探讨肺硬化性血管瘤诊断和外科治疗。方法回顾性分析我院1987~2002年33例(34个肿瘤)肺硬化性血管瘤的临床资料。男6例,女27例。年龄24~57岁,平均41.3岁。症状以痰中带血23例;无症状10例。影像学均表现为孤立性结节,其中5例有新月征。结果术前28例诊断为肺良性肿瘤,其中5例考虑诊断为肺硬化性血管瘤;1例经皮肺穿刺确诊为肺硬化性血管瘤;4例误诊为肺癌。全组均行手术治疗,其中肺叶切除21例,双肺叶切除1例,肺段切除5例,楔形切除4例(其中1例为经胸腔镜双侧同期切除),肿瘤摘除2例。手术时间45 m in^3.5 h,平均1.5 h,出血量100~600m l,平均230 m l。无围术期死亡。33例随访3~10年,平均5.5年,无一例复发。结论对中年女性,痰中带血,影像学表现为孤立性结节,特别是有新月征者,应考虑本症。经皮肺穿刺病理学检查,可使部分患者确诊。手术治疗效果良好。
