Nhân một trường hợp bướu chu bào phổi trái tái phát (Hemangiopericytoma)

Abstract

Hemangiopericytoma, of the lung is seldom ever bengin or malignant. We met a hemangiopericytoma firstly in the lung. The diagnosis at that time is vascular tumor, it is benign so no chemotherapy. About over 10 years, the tumor recur, so the patient come back. Patient Tran thi Kim H., date naissance 1970, mariage with 4 children, farmer. Live at An thoi Đong, Can Gio district, admitted 26/9/2019, by recurrent tumor of the left lung. After 10 years of lung operation, patient has symptom of headache and vertiginous in two recent years. At Binh Dan hospital, in examination, no is abnormal except the tumor of the inferior left lung. Labo data is normal, except a mild anemia. Firstly, we decide remove the tumor by thoracotomy, but the left lung cannot be deflated so the operation is postponed. A week after, a left thoracotomy, we saw the tumor adhere to the thoracic wall and to the left lung; when we dissected the tumor was ruptured. We removed all of tumor with a partial left inferior lung and vascular control with Vicryl 3.O. We drain and close the thorax. Post- operation was stable and patient was discharged after 15 days . Biopsy with MSCT, the diagnosis is undifferentiated non small cell lung cancer. But at opened operation, the diagnosis is lymphocyte with big cell B. After that, the diagnosis is hemangiopericytoma of the lung (immunohistochemistry test). For this patient, we hesite the chemotherapic treatment or not.