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中华肺部疾病杂志(电子版) ›› 2019, Vol. 12 ›› Issue (01) : 121 -123. doi: 10.3877/cma.j.issn.1674-6902.2019.01.029

所属专题: 经典病例 经典病例 文献

病例报告

胸腔原发骨外尤文肉瘤二例
熊震1, 阳光辉1, 史海广1, 黎光强1,()   
  1. 1. 541002 桂林,解放军第一八一医院呼吸内科
  • 收稿日期:2018-12-08 出版日期:2019-02-20
  • 通信作者: 黎光强

Two cases of thoracic primary Ewing sarcoma

Zhen Xiong1, Guanghui Yang1, Haiguang Shi1   

  • Received:2018-12-08 Published:2019-02-20
引用本文:

熊震, 阳光辉, 史海广, 黎光强. 胸腔原发骨外尤文肉瘤二例[J]. 中华肺部疾病杂志(电子版), 2019, 12(01): 121-123.

Zhen Xiong, Guanghui Yang, Haiguang Shi. Two cases of thoracic primary Ewing sarcoma[J]. Chinese Journal of Lung Diseases(Electronic Edition), 2019, 12(01): 121-123.

图1 病例1患者CT影像与病理分析;注:A:2011-3-7胸部CT提示右侧胸膜局部呈团块状增厚;B:2013-7-16右下胸膜见两个椭圆形低密度影,大小分别为4.8×3.0 cm、3.3×1.5 cm,密度不均匀,CT值为38HU;C:2013-11-21胸部CT提示右下胸膜见多个大小不等低密度肿物,大者为6.5×4.5 cm;D 、E 、F:经皮穿刺胸膜肿物活检病理提示瘤细胞弥漫分布,核小圆,大小较一致,免疫组化结果显示CD99(+),Vim(+),支持尤文氏肉瘤诊断(×40)
图2 病例2患者CT影像与病理分析;注:A:右侧胸膜多发占位;右侧胸腔积液;B:右侧胸膜小圆细胞性恶性肿瘤介入化疗+栓塞术后改变;右侧胸腔积液;C:右侧胸膜多个结节状软组织密度影体积较前相仿,呈不均匀强化;D:可见病理性核分裂像,细胞边界不清,肿瘤细胞巢之间可见大量增生的致密纤维结缔组织,考虑胸膜小圆细胞性恶性肿瘤(×40)。后进一步行免疫组化确诊为尤文肉瘤(×40)
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