肺硬化性血管瘤一病例報告與文獻回顧

Sclerosing Hemangioma of the Lung-3 Cases Report and Review of the Literature

王至俊(J. J. Wang) ； 盧崇正(Chung C. Lu) ； 謝明仁(Ming J. Hsieh)

《中華放射線醫學雜誌》 8卷4期 (1983/12) Pp. 347-355

摘要

肺硬化性血管瘤是一種少見的良性肺內腫瘤。過去曾有人將它與黃色瘤，纖維組織瘤、黃色肉芽腫，漿細胞纖維瘤，乳頭狀氣瘤及炎症後假性瘤等歸為一類。其生成原因尚未定論。今提出三個病例，皆為女性，年齡32歲至6歲，平均46歲。祇有一例有咳嗽帶有血痰的症狀，餘二例無症狀。在常規胸部X光檢查顯示－界限清楚的質塊於肺中，兩例位於肺下葉之周邊，一例近肺中央區。經手術割除後患者一般狀況良好。本文提出三例報告，並回顧文獻加以討論之。

並列摘要

Sclerosing hemangiomas of the lung are uncommon benign neoplasms. Although they have a variegated and well-defined histologic appearance, their true nature is debatable. Between May 1976 and June 1983 we have seen 3 cases of sclerosing hemangiom of the lung in our hospital. All 3 were women with average age of 46 years. One case felt tightness of chest, and the other had cough with blood-tinged sputum, otherwise no specific symptoms. These tumors appear as a solitary nodule or well-circumscribed mass, and additional small nodules in lower lobe found in case 3. All tumors were surgically removed. We report 3 cases and the literature about histogenesis reviewed. Recently, some investigators favor epithelial origin rather than an endothelial derivation; and they consider the tumor represents a form of benign epithelial mesothelioma.