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目的介绍1例肺上皮样血管内皮细胞瘤的诊治过程及预后,为临床工作者提供对此类疾病诊断和治疗的参考。方法结合我院收治的1例肺上皮样血管内皮细胞瘤患者自入院检查、诊治及预后情况,同时结合相关文献报道,分析此类疾病的诊治过程,鉴别诊断。结果我院收治的该例患者经严格的临床体检、增强胸CT、支气管镜灌洗液病理、胸腔镜、胸膜活检及免疫组化结果均高度提示上皮样血管内皮细胞瘤的诊断。但因患者放弃治疗、自动出院而在随访5月后死亡。结论肺上皮样血管内皮细胞瘤是一种较为罕见的肺部恶性肿瘤,临床及影像学无特异性表现,极易误诊,给患者的生活质量及预后带来不利。因此当患者出现结核等常见疾病的临床症状和体征而不能解释或相应治疗效果欠佳时,应考虑到一些少见病的可能,并采取进一步措施明确病理诊断。
Objective To introduce a case of pulmonary epithelioid hemangioendothelioma diagnosis and treatment process and prognosis for clinicians to provide reference for the diagnosis and treatment of such diseases. Methods A case of pulmonary epithelioid hemangioendothelioma admitted to our hospital from hospital admission examination, diagnosis and treatment and prognosis, combined with relevant literature reports, analysis of the diagnosis and treatment of such diseases, differential diagnosis. Results The patients admitted to our hospital were highly diagnosed with epithelioid hemangiopericytoma underwent rigorous clinical examination, enhanced thoracic CT, bronchoscopic lavage fluid pathology, thoracoscope, pleural biopsy and immunohistochemistry. However, the patient was surrendered and abandoned after 5 months of follow-up after giving up treatment. Conclusions Pulmonary epithelioid hemangiopericytoma is a relatively rare malignant tumor of the lung with no specific clinical and imaging manifestations. It is easily misdiagnosed, which brings disadvantages to patients’ quality of life and prognosis. Therefore, when patients with clinical symptoms and signs of common diseases such as tuberculosis can not explain or the corresponding treatment ineffective, should take into account the possibility of some rare diseases and take further measures to clarify the pathological diagnosis.