简介:Anewcaseofepithelioidhemangioendotheliomaisreportedtohaveoccurredtoa67-year-oldpatientwhoconsultedforrightsidedchestpain.Thework-upshowedmultiplerightpulmonarylesionsassociatedwithbilateralmoderatepleuraleffusionandleft-sidedpleuralthickeningandthreehypodensenodulesintherightlobeoftheliver,peritonealthickening,ascites,andmultiplevertebrallyticlesions.Thediagnosisofanepithelioidhemangioendotheliomawasconcludedthroughahistologicalexaminationofacomputedtomographyscanguidedbiopsyoftheliver.Thepatientreceivedaprimarymono-chemotherapywithAdriamycin(75mg/m~2everythreeweeks)andintravenousbisphosphonateswithoutresponseandgeneralstatusimpairment.Thepatientdiedafter16monthsoffollow-up.
简介:Perivascularepithelioidcelltumor(PEComa)ofthepancreasisanunusualtumorderivingfrommesenchyma.ThispaperdescribedacaseofpancreaticPEComa,whichwasinitiallysuspectedasneuroendocrinecarcinomabybiopsy,andthereforesurgicaltreatmentwasrecommendedduetoundetermineddiagnosis.Examinationofthesurgicalspecimenunderamicroscopeshowedthatthetumorcell’smorphologywasepithelioidorspindle-shaped,andrangedinanestedpattern.Additionally,thesecellshadalargeextentofacidophiliccytoplasm,nomitoticfigures,andexpressedHMB-45,melan-p,andsmoothmuscleactinimmunohistochemically.PathologicalexaminationindicatedthatPEComaoriginatedfromthepancreas,butsymptomsrelatedtotuberoussclerosiswereabsent.SincePEComaisextremelyrareinthepancreas,itislikelytobeignoredindifferentialdiagnosis.Inconclusion,ourarticlehighlightedtheclinicopathologicalfeaturesofPEComa,andweconductedaliteraturereviewfocusingonPEComasoastodeepentheunderstandingofthistumortype.
简介:Sclerosing上皮状的纤维肉瘤(SEF)是纤维肉瘤的稀罕、糟糕定义的变体,但是对与穷人一起的化疗和进步通常感觉迟钝预后。我们报导irinotecanhydrochloride(CPT-11)的奇妙的效果在rescuing的化疗在几个治疗方法以后经历了复发的有从突现的状况的不正常的SEF的一个病人。CPT-11的小剂量予病人被以,与哪个,表面的质量(颈的淋巴节点)的尺寸逐渐地减少了在5天内由肉眼观察了。X射线和CT图象在肿瘤的尺寸证明了显著减小。CPT-11为这个好攻击的肉瘤的治疗是珍贵的。处于肉瘤压迫引起的紧急情况的状况,管理topoisomerase我禁止药的可容忍的小剂量能是一种有益的选择。