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肺血管外皮细胞瘤(Hemangiopericytoma)罕见,1987年10月我们遇及1例,经病理检查确诊,现复习有关文献,报告如下。患者,男,50岁,某矿工人,因慢性咳嗽2年,痰血4天,在当地医院胸透发现“右下肺块影”而入院。查体:T36.4,P80,R20,BP102/60,锁骨上窝及浅表淋巴结不肿大,痰脱落细胞阴性。纤维支气管镜检见气管、隆突正常,各支气管开口通畅,右中下支气管粘膜红肿充血。X线片示右下第四肋间中内带有一约4×5cm大小,密度均匀,下部呈边缘分叶状的阴影。1987年10月30日患者在全麻下行剖胸探查术,术中见右肺中叶内侧段有一约4×6cm大小,呈膨胀性生长的肿块,质中等似橡
Pulmonary hemangiopericytoma is rare. In October 1987, we encountered 1 case. The diagnosis was confirmed by pathological examination. The relevant literature is now reviewed. The report is as follows. The patient, male, 50 years old, a miner, was admitted to hospital because of a chronic cough for 2 years and blood stasis for 4 days. He was found in the local hospital chest chest with a “right lower lung block shadow.” Physical examination: T36.4, P80, R20, BP102/60, supraclavicular fossa and superficial lymph nodes were not swollen, and nevus exfoliative cells were negative. Fiberoptic bronchoscopy showed normal trachea and carina, and the bronchial opening was unobstructed. The right middle and lower bronchial mucosa was red and congested. The X-ray film shows that the fourth intercostal space in the lower right has a size of about 4×5 cm, and the density is uniform, and the lower part is in the shape of an edge lobulated. On October 30, 1987, the patient underwent transthoracic exploration under general anesthesia. During operation, the medial segment of the right middle lobe showed a size of approximately 4 × 6 cm.