肺硬化性血管瘤误诊原因研究

目的 分析肺硬化性血管瘤（SHL）误诊的常见原因。方法 对12例SHL患的诊断及鉴别诊断进行分析。结果 本组12例，男2例。女10例，男女之比是1：5。术前胸部X光曾误诊为错构瘤。结核瘤及肺癌，误诊率为80%，SHL女性多见，无症状偏多，发病年龄偏高。临床常见症状为咳嗽，咳痰或咳血丝痰，镜下瘤细胞由实性片块区。乳头区，血管瘤样区及硬化区组成。结论 SHL少见，临床及X光缺乏特异性，对肺部具有一般良性肿瘤特点的病灶，而且为女性，年龄偏大的患，要考虑为SHL。

Causal Analysis of Misdiagnosis of Sclerosing Hemangioma of the Lung

Objective To analyse the common reasons of misdiagnosis of sclerosing hemangioma of the lung.Methods The diagnoses and differential diagnoses of twelves cases of SHL were analyzed.Results There were 2 males and 10 females(1:5) .Before operation,most cases were misdiagnosed as hamartoma,tuberculoma and lung cancer by chest X ray (80%).SHL usually occurred in old females,and most of them presented no symptom.The common clinical symptoms were cough,spit and sputum mixed with blood.Under microscope,SHL cells showed a mixture of solid,papillary,hemangioma like and sclerotic pathological changes.Conclusions SHLwere rare,and it lack specificity in clinic and chest X ray.SHL should be considered in female and old patients with general characteristics of benign lung neoplasm.