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首页> 外文期刊>Respirology : >Sclerosing haemangioma with lymph node metastasis.
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Sclerosing haemangioma with lymph node metastasis.

机译：硬化性血管瘤伴淋巴结转移。

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摘要

Sclerosing haemangioma (SH) of the lung is an intrapulmonary tumour composed of polygonal and cuboidal cells arranged in a heterogeneous pattern. SH is generally regarded as benign or very low-grade; only rarely have cases of lymph node metastasis been reported. We report a case of SH with metastasis to the regional lymph nodes in an 18-year-old male, whose left lung tumour was identified incidentally on routine CXR. The left upper lobe was removed and the regional lymph nodes dissected. The tumour consisted of proliferative cuboidal and polygonal cells arranged in a papillary pattern within the sclerotic stroma. Subcapsular metastasis was observed in a lymph node. SH with lymph node metastasis was diagnosed. The patient was disease-free at follow up after 2 years. Lobectomy with nodal dissection is suggested for the treatment of pulmonary SH, especially in the case of large tumours with enlargement of regional lymph nodes. Investigation of more cases and long-term follow up are necessary to assess the clinical significance of lymph node metastasis.
机译：肺硬化性血管瘤（SH）是一种肺内肿瘤，由以异质排列的多边形和长方体细胞组成。 SH通常被认为是良性或非常低级的;很少有淋巴结转移病例的报道。我们报道了一名18岁男性男性SH转移至区域淋巴结的情况，该男性在常规CXR上偶然发现了左肺肿瘤。去除左上叶并解剖区域淋巴结。肿瘤由增生的立方和多边形细胞组成，在硬化性基质内排列成乳头状。在淋巴结中观察到囊下转移。诊断有淋巴结转移的SH。两年后随访，患者无病。建议采用淋巴结清扫肺叶切除术治疗肺部SH，特别是在大型肿瘤伴局部淋巴结肿大的情况下。为了评估淋巴结转移的临床意义，有必要调查更多病例并进行长期随访。

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