Альманах клинической медицины. 2015; : 115-119
ПРИМЕР ЛУЧЕВОЙ ДИАГНОСТИКИ ЭПИТЕЛИОИДНОЙ ГЕМАНГИОЭНДОТЕЛИОМЫ ПРАВОГО ПРЕДСЕРДИЯ
Вишнякова М. В. (мл.), Черменский Г. В., Пронина В. П., Вишнякова М. В., Мартаков М. А., Гаганов Л. Е.
https://doi.org/10.18786/2072-0505-2015-43-115-119Аннотация
Описан случай крайне редкой опухоли сердца – первичной эпителиоидной гемангиоэндотелиомы с вторичным поражением легочной ткани. Несмотря на широкие возможности современных методов лучевой диагностики, окончательный диагноз у таких пациентов устанавливается при помощи гистологического и иммуногистохимического методов исследования.
Список литературы
1. Goldblum JR, Folpe AL, Weiss SW. Hemangioendothelioma: vascular tumors of intermediate malignancy. In: Goldblum JR, Folpe AL, Weiss SW, editors. Enzinger and Weiss's Soft Tissue Tumors. 6th edition. Chapter 22. Philadelphia: Saunders; 2014. p. 681–702.
2. Fletcher CDM, Bridge JA, Hogendoorn P, Mertens F, editors. IARC WHO Classification of tumours. Vol. 5. WHO Classification of tumours of soft tissue and bone. 4th edition. Geneva: WHO Press; 2013. 468 p.
3. Cotran RS, Kumar V, Robbins SL. Tumors of blood vessels. In: Cotran RS, Kumar V, Robbins SL. Robbins and Cotran pathologic basis of disease. Philadelphia: Saunders; 1989. p. 587–92.
4. Weiss SW, Enzinger FM. Epithelioid hemangioendothelioma: a vascular tumor often mistaken for a carcinoma. Cancer. 1982;50(5):970–81.
5. Weiss SW, Ishak KG, Dail DH, Sweet DE, Enzinger FM. Epithelioid hemangioendothelioma and related lesions. Semin Diagn Pathol. 1986;3(4):259–87.
6. Kahlout M, Al-Mulla A, Chaikhouni A, Al-Bozom I. Unusual presentation of a rare tumor: Cardiac epithelioid hemangioepithelioma presenting as cardiac tamponade. Heart Views. 2009;10:132–5.
7. Sugimoto T, Yamamoto K, Yoshii S. A primary epithelioid hemangioendothelioma of the right atrium: report of a case and literature review. Open Journal of Thoracic Surgery. 2013;(3):63– 7. http://dx.doi.org/10.4236/ojts.2013.32013.
8. Ellouze M, Dami M, Beaulieu Y, Perrault LP, Romeo P. Resection of a right atrial epithelioid hemangioendothelioma. Cardiovasc Pathol. 2015;24(6):401–4. http://dx.doi.org/10.1016/j.carpath.2015.07.003.
9. Sutsch G, Jenni R, von Segesser L, Schneider J. Heart tumors: incidence, distribution, diagnosis. Exemplified by 20,305 echocardiographies. Schweiz Med Wochenschr. 1991;121(17):621–9.
10. Oliveira R, Branco L, Galrinho A, Abreu A, Abreu J, Fiarresga A, Mamede A, Ramos R, Leal A, Pinto E, Fragata J, Ferreira R. Cardiac myxoma: a 13-year experience in echocardiographic diagnosis. Rev Port Cardiol. 2010;29(7–8):1087–100.
11. Paraskevaidis IA, Michalakeas CA, Papadopoulos CH, Anastasiou-Nana M. Cardiac tumors. ISRN Oncol. 2011;2011:208929. doi: 10.5402/2011/208929.
12. Пучкова ЕН, Сибирский ВЮ, Гончарова МА, Гажонова ВЕ. Лучевая диагностика первичных опухолей сердца. Кремлевская медицина. Клинический вестник. 2009;(3):74–6.
13. van Beek EJ, Stolpen AH, Khanna G, Thompson BH. CT and MRI of pericardial and cardiac neoplastic disease. Cancer Imaging. 2007;7:19–26.
14. Murali R, Zarka MA, Ocal IT, Tazelaar HD. Cytologic features of epithelioid hemangioendothelioma. Am J Clin Pathol. 2011;136(5):739–46. doi: 10.1309/AJCP5NK0FJCGHTFM.
15. Deyrup AT, Tighiouart M, Montag AG, Weiss SW. Epithelioid hemangioendothelioma of soft tissue: a proposal for risk stratification based on 49 cases. Am J Surg Pathol. 2008;32(6): 924–7.
16. Давыдов МИ, Усачев ДЮ, Полоцкий БЕ, Соболевский ВА, Лактионов КК, Никуличев ЛА, Герасимов СС, Лукшин ВА, Горобец ЕС, Груздев ВЕ, Шмигельский АВ, Беляев АЮ, Володина ИЕ. Радикальное удаление злокачественной гемангиоэндотелиомы средостения с восстановлением магистрального кровоснабжения головного мозга. Вопросы нейрохирургии им. Н.Н. Бурденко. 2013;77(4):61–8.
17. Bagan P, Hassan M, Le Pimpec Barthes F, Peyrard S, Souilamas R, Danel C, Riquet M. Prognostic factors and surgical indications of pulmonary epithelioid hemangioendothelioma: a review of the literature. Ann Thorac Surg. 2006;82(6):2010–3.
18. Anderson T, Zhang L, Hameed M, Rusch V, Travis WD, Antonescu CR. Thoracic epithelioid malignant vascular tumors: a clinicopathologic study of 52 cases with emphasis on pathologic grading and molecular studies of WWTR1-CAMTA1 fusions. Am J Surg Pathol. 2015;39(1):132–9. doi: 10.1097/ PAS.0000000000000346.
19. Safirstein J, Aksenov S, Smith F. Cardiac epithelioid hemangioendothelioma with 8-year follow-up. Cardiovasc Pathol. 2007;16(3):183–6.
20. Llombart-Cussac A, Pivot X, Contesso G, RhorAlvarado A, Delord JP, Spielmann M, Tursz T, Le Cesne A. Adjuvant chemotherapy for primary cardiac sarcomas: the IGR experience. Br J Cancer. 1998;78(12):1624–8.
Almanac of Clinical Medicine. 2015; : 115-119
A CASE OF RADIOLOGICAL DIAGNOSIS OF EPITHELIOID HEMANGIOENDOTHELIOMA OF THE RIGHT ATRIUM
Vishnyakova M. V. Jr, Chermenskiy G. V., Pronina V. P., Vishnyakova M. V., Martakov M. A., Gaganov L. E.
https://doi.org/10.18786/2072-0505-2015-43-115-119Abstract
We present a case of a very rare heart tumor, a primary epithelioid hemangioendothelioma with secondary pulmonary metastases. Despite of the expanded diagnostic possibilities of current radiological diagnosis procedures, the final diagnosis in such patients is made only after histological examination and immunohistochemistry.
References
1. Goldblum JR, Folpe AL, Weiss SW. Hemangioendothelioma: vascular tumors of intermediate malignancy. In: Goldblum JR, Folpe AL, Weiss SW, editors. Enzinger and Weiss's Soft Tissue Tumors. 6th edition. Chapter 22. Philadelphia: Saunders; 2014. p. 681–702.
2. Fletcher CDM, Bridge JA, Hogendoorn P, Mertens F, editors. IARC WHO Classification of tumours. Vol. 5. WHO Classification of tumours of soft tissue and bone. 4th edition. Geneva: WHO Press; 2013. 468 p.
3. Cotran RS, Kumar V, Robbins SL. Tumors of blood vessels. In: Cotran RS, Kumar V, Robbins SL. Robbins and Cotran pathologic basis of disease. Philadelphia: Saunders; 1989. p. 587–92.
4. Weiss SW, Enzinger FM. Epithelioid hemangioendothelioma: a vascular tumor often mistaken for a carcinoma. Cancer. 1982;50(5):970–81.
5. Weiss SW, Ishak KG, Dail DH, Sweet DE, Enzinger FM. Epithelioid hemangioendothelioma and related lesions. Semin Diagn Pathol. 1986;3(4):259–87.
6. Kahlout M, Al-Mulla A, Chaikhouni A, Al-Bozom I. Unusual presentation of a rare tumor: Cardiac epithelioid hemangioepithelioma presenting as cardiac tamponade. Heart Views. 2009;10:132–5.
7. Sugimoto T, Yamamoto K, Yoshii S. A primary epithelioid hemangioendothelioma of the right atrium: report of a case and literature review. Open Journal of Thoracic Surgery. 2013;(3):63– 7. http://dx.doi.org/10.4236/ojts.2013.32013.
8. Ellouze M, Dami M, Beaulieu Y, Perrault LP, Romeo P. Resection of a right atrial epithelioid hemangioendothelioma. Cardiovasc Pathol. 2015;24(6):401–4. http://dx.doi.org/10.1016/j.carpath.2015.07.003.
9. Sutsch G, Jenni R, von Segesser L, Schneider J. Heart tumors: incidence, distribution, diagnosis. Exemplified by 20,305 echocardiographies. Schweiz Med Wochenschr. 1991;121(17):621–9.
10. Oliveira R, Branco L, Galrinho A, Abreu A, Abreu J, Fiarresga A, Mamede A, Ramos R, Leal A, Pinto E, Fragata J, Ferreira R. Cardiac myxoma: a 13-year experience in echocardiographic diagnosis. Rev Port Cardiol. 2010;29(7–8):1087–100.
11. Paraskevaidis IA, Michalakeas CA, Papadopoulos CH, Anastasiou-Nana M. Cardiac tumors. ISRN Oncol. 2011;2011:208929. doi: 10.5402/2011/208929.
12. Puchkova EN, Sibirskii VYu, Goncharova MA, Gazhonova VE. Luchevaya diagnostika pervichnykh opukholei serdtsa. Kremlevskaya meditsina. Klinicheskii vestnik. 2009;(3):74–6.
13. van Beek EJ, Stolpen AH, Khanna G, Thompson BH. CT and MRI of pericardial and cardiac neoplastic disease. Cancer Imaging. 2007;7:19–26.
14. Murali R, Zarka MA, Ocal IT, Tazelaar HD. Cytologic features of epithelioid hemangioendothelioma. Am J Clin Pathol. 2011;136(5):739–46. doi: 10.1309/AJCP5NK0FJCGHTFM.
15. Deyrup AT, Tighiouart M, Montag AG, Weiss SW. Epithelioid hemangioendothelioma of soft tissue: a proposal for risk stratification based on 49 cases. Am J Surg Pathol. 2008;32(6): 924–7.
16. Davydov MI, Usachev DYu, Polotskii BE, Sobolevskii VA, Laktionov KK, Nikulichev LA, Gerasimov SS, Lukshin VA, Gorobets ES, Gruzdev VE, Shmigel'skii AV, Belyaev AYu, Volodina IE. Radikal'noe udalenie zlokachestvennoi gemangioendoteliomy sredosteniya s vosstanovleniem magistral'nogo krovosnabzheniya golovnogo mozga. Voprosy neirokhirurgii im. N.N. Burdenko. 2013;77(4):61–8.
17. Bagan P, Hassan M, Le Pimpec Barthes F, Peyrard S, Souilamas R, Danel C, Riquet M. Prognostic factors and surgical indications of pulmonary epithelioid hemangioendothelioma: a review of the literature. Ann Thorac Surg. 2006;82(6):2010–3.
18. Anderson T, Zhang L, Hameed M, Rusch V, Travis WD, Antonescu CR. Thoracic epithelioid malignant vascular tumors: a clinicopathologic study of 52 cases with emphasis on pathologic grading and molecular studies of WWTR1-CAMTA1 fusions. Am J Surg Pathol. 2015;39(1):132–9. doi: 10.1097/ PAS.0000000000000346.
19. Safirstein J, Aksenov S, Smith F. Cardiac epithelioid hemangioendothelioma with 8-year follow-up. Cardiovasc Pathol. 2007;16(3):183–6.
20. Llombart-Cussac A, Pivot X, Contesso G, RhorAlvarado A, Delord JP, Spielmann M, Tursz T, Le Cesne A. Adjuvant chemotherapy for primary cardiac sarcomas: the IGR experience. Br J Cancer. 1998;78(12):1624–8.
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