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目的总结肺及胸壁上皮样血管内皮瘤的诊断与治疗经验。方法回顾性分析3例肺及胸壁上皮样血管内皮瘤患者的临床资料并复习文献。结果 3例肺及胸壁上皮样血管内皮瘤临床表现缺乏特异性,3例均行手术治疗。石蜡病理示上皮样血管内皮瘤,免疫组织化学检查CD34(+),SMA(+),S-100(-)。2例术后1个月复查胸片未见异常,1例术后失访。结论肺及胸壁上皮样血管内皮瘤缺乏特异性的检查方法,以及有效的治疗手段,主要采用以外科和化疗为主的综合治疗。
Objective To summarize the diagnosis and treatment of pulmonary and chest wall epithelioid hemangioendothelioma. Methods Retrospective analysis of 3 cases of lung and chest wall epithelioid hemangioendothelioma clinical data and review the literature. Results The clinical manifestations of 3 cases of pulmonary and chest wall epithelioid hemangioendothelioma were not specific, and 3 cases underwent surgical treatment. Paraffin pathology showed epithelioid hemangioendothelioma, immunohistochemical examination of CD34 (+), SMA (+), S-100 (-). Two cases had no abnormal chest radiographs one month after operation and one case was lost after operation. Conclusion Lung and chest wall epithelioid hemangioendothelioma lack of specific examination methods, and effective treatment, mainly using surgical and chemotherapy-based comprehensive treatment.