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目的总结类似肺癌转移的多发性上皮样血管内皮瘤的诊断与治疗经验。方法回顾性分析2007-2014年我院确诊的6例多发性上皮样血管内皮瘤患者的临床资料并复习文献。结果 6例肺上皮样血管内皮瘤患者的临床表现缺乏特异性,1例行手术治疗,2例以顺铂为基础化疗,1例口服依托泊苷化疗,2例放弃治疗。随访提示患者总体预后良好。结论病理活检是诊断肺上皮样血管内皮瘤的主要手段,治疗方法目前主要采用以外科和化疗为主的综合治疗。
Objective To summarize the experience of diagnosis and treatment of multiple epithelioid hemangioendothelioma resembling lung cancer metastasis. Methods The clinical data of 6 patients with multiple epithelioid hemangioendothelioma diagnosed in our hospital from 2007 to 2014 were retrospectively reviewed and reviewed. Results The clinical manifestations of 6 patients with pulmonary epithelioid hemangioendothelioma were lack of specificity. One patient underwent surgical treatment, 2 patients received cisplatin-based chemotherapy, 1 patient received oral etoposide chemotherapy, and 2 patients gave up treatment. Follow-up suggested that the overall prognosis of patients was good. Conclusion Pathological biopsy is the main method for the diagnosis of pulmonary epithelioid hemangioendothelioma. At present, the main treatment methods are comprehensive treatment based on surgery and chemotherapy.