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Treatment of pulmonary epithelioid hemangioendothelioma with combination chemotherapy: Report of three cases and review of the literature

机译:联合化疗治疗肺上皮样血管内皮瘤三例报告并文献复习

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摘要

No standard therapy for pulmonary epithelioid hemangioendothelioma (PEH) has yet been established due to the rarity of the disease, the lack of clear standards for treatment and the partial-to-complete spontaneous regression. This report describes three cases of PHE manifested as bilateral intrapulmonary masses with an initial diagnosis conducted by thoracoscopic lung biopsy. These patients demonstrated a partial response to combination chemotherapy with carboplatin, paclitaxel, bevacizumab or endostar, and an improvement in clinical status. Furthermore, we reviewed the literature regarding such patients who received chemotherapy and immunotherapy; this indicated that patients with PEH demonstrated a good partial response to chemotherapy with carboplatin, paclitaxel, bevacizumab, thalidomide and a-interferon. Overall, combination chemotherapy regimens may hold therapeutic potential for the treatment of this rare disease.
机译:由于该病的罕见性,缺乏明确的治疗标准以及部分至完全的自发消退,目前尚未建立针对肺上皮样血管性血管内皮瘤(PEH)的标准疗法。该报告描述了三例PHE表现为双侧肺内包块,并通过胸腔镜肺活检初步诊断。这些患者表现出对联合用卡铂,紫杉醇,贝伐单抗或endostar化疗的部分反应,并且临床状况有所改善。此外,我们回顾了有关接受化学疗法和免疫疗法的这类患者的文献。这表明PEH患者对卡铂,紫杉醇,贝伐单抗,沙利度胺和α-干扰素的化疗表现出良好的部分反应。总体而言,联合化疗方案可能具有治疗这种罕见疾病的治疗潜力。

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