Epithelioid hemangioendothelioma of the liver metastasis in 1 case with.docVIP

 PAGE \* MERGEFORMAT 8 Epithelioid hemangioendothelioma of the liver metastasis in 1 case with Of: Zhu Yu, Chen Shi, Chen Bo with Deng Xia Xing [Keywords:] liver epithelial hemangioendothelioma, transfer Epithelioid hemangioendothelioma of the liver (hepatic epithelioid haemangioendothelioma, HEHE is a rare feature more than skin-like endothelial cells of tumor, its degree of malignancy between hemangioma and angiosarcoma, belonging to the moderate or low-grade malignancy slow growth, the transfer rate is not high, about 27% of patients in the transfer of a tumor can be, and often seen in the lungs or liver. This paper reports 1 case of lung and liver metastasis and the presence of pulmonary symptoms led Development of liver epithelial hemangioendothelioma of the cases, and the literatures of the clinical features and treatment and prognosis. 1 Case information Patients, male, 42 years old. 2 more than a month because of cough and expectoration, sputum pus yellow mucus a day about 50 ml, perceived fever, no sweating, no chest tightness, shortness of breath, no chest pain, palpitations, headache, runny nose, etc., in April 12, 2009 admission. admission examination: body temperature of 37 , blood pressure 135/80 mm Hg, heart rate 80 times / min, breathing 22 times / min. mind clear, no obvious appearance of anemia, skin, mucous membranes and sclera no yellow dye, No bleeding point and the spider. lungs no time was wet and dry rales. abdomen is soft, liver and spleen ribs no time, liver percussion pain negative. abdomen shifting dullness negative, bowel sounds 5 times / min. Hepatitis B three lines, liver function and serum tumor markers AFP and CEA were not abnormal. CT showed: multiple bilateral lung nodules, and metastatic tumors may, multiple low density lesions in the liver, metastatic tumors may be (Figure 1 ~ 4.PET- CT: multiple bilateral pulmonary nodules, metabolism, no increased tumor metastasis may be considered, multiple high metabolic l