Nhân một trường hợp bướu chu bào phổi trái tái phát xem lại các trường hợp tương tự đã báo cáo và đăng trên thế giới (Hemangiopericytoma-like features)

Hemangiopericytoma, of the lung is seldom ever bengin or malignant. We meet 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 of naissance 1970, wedding with 4 children, farmer, An Thoi Đong, Can Gio district. Admitted 26/9/019, by recurrent tumor of the left lung. Patient has symptom of headdate and vertige in 2 recent years after 10 years of lung operation. At Binh Dan hospital, in examination, no is abnormal except the tumor of the inferior left lung. Labo data is normal, except a little anemia. In the Dpt of Thoracic and mediastinal surgery, firstly, we decide remove the tumor by thoracostomy, but the left lung is no collapse, the operation is referred. A week after, a left thoracotomy (Prof Van Tan), we see the tumor adhere to the thoracic wall and to the left lung; we remove the fibrous, the tumor break. We remove all of tumor with a partial left inferior lung.The vascular control by vicyl 000. We drain and close the thorax. After operation, patient fill good and discharge 15 days after. Diagnosis no 1: Biopsy with CT, the diagnosis is cancer cell no cytology of small cell, no differenciated. But at opened operation, the diagnosis is lymphocyte with big cell B. After that, the diagnosis is hemangiopercytoma-like feature of the lung. We hesite the chemotherapic treatment or not, if chemotherapy, may we use Imatinib.