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Caso Clínico/Case Report
Hemangioendotelioma epitelióide da pleura – Uma apresentação rara a propósito de um caso clínico
Epithelioid hemangioendothelioma of the pleura – A rare presentation of a clinical case
Sónia André1, Carla Valente1, Benedita Paiva2, Alice Pêgo3, Lina Carvalho4, A. Segorbe Luís5
1 Interna do Internato Complementar de Pneumologia, Faculdade de Medicina, Universidade de Coimbra, Departamento de Ciências Pneumológicas e Alergológicas dos Hospitais da Universidade de Coimbra, Av. Bissaya Barreto e Praceta Prof. Mota Pinto, 3000-075 Coimbra
2 Assistente Hospitalar de Pneumologia, Faculdade de Medicina, Universidade de Coimbra, Departamento de Ciências Pneumológicas e Alergológicas dos Hospitais da Universidade de Coimbra, Av. Bissaya Barreto e Praceta Prof. Mota Pinto, 3000-075 Coimbra
3 Assistente Graduada de Pneumologia, Faculdade de Medicina, Universidade de Coimbra, Departamento de Ciências Pneumológicas e Alergológicas dos Hospitais da Universidade de Coimbra, Av. Bissaya Barreto e Praceta Prof. Mota Pinto, 3000-075 Coimbra
4 Professora de Anatomia Patológica da FMUC e Chefe de Serviço de Anatomia Patológica dos HUC, Faculdade de Medicina, Universidade de Coimbra, Departamento de Ciências Pneumológicas e Alergológicas dos Hospitais da Universidade de Coimbra, Av. Bissaya Barreto e Praceta Prof. Mota Pinto, 3000-075 Coimbra
5 Professor de Pneumologia da FMUC e Chefe de Serviço de Pneumologia dos HUC, Faculdade de Medicina, Universidade de Coimbra, Departamento de Ciências Pneumológicas e Alergológicas dos Hospitais da Universidade de Coimbra, Av. Bissaya Barreto e Praceta Prof. Mota Pinto, 3000-075 Coimbra
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        "titulo" => "Epithelioid hemangioendothelioma of the pleura &#8211; A rare presentation of a clinical case"
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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">O hemangioendotelioma epiteli&#243;ide &#40;HEE&#41; &#233; um tumor de origem vascular&#44; de grau interm&#233;dio de malignidade&#44; cuja apresenta&#231;&#227;o prim&#225;ria na pleura &#233; rara&#46; Pelo reduzido n&#250;mero de casos descritos na literatura&#44; os autores apresentam o caso de uma doente de 65 anos&#44; que recorreu ao servi&#231;o de urg&#234;ncia por toracalgia &#224; direita&#44; com sete meses de evolu&#231;&#227;o&#44; na sequ&#234;ncia de um traumatismo tor&#225;cico&#46; Radiologicamente apresentava sinais sugestivos de derrame pleural direito de volume moderado&#46; A bi&#243;psia pleuropulmonar&#44; efectuada por toracotomia&#44; permitiu estabelecer o diagn&#243;stico histol&#243;gico de HEE da pleura&#46;</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">Atendendo ao est&#225;dio localmente avan&#231;ado do tumor&#44; a doente iniciou quimioterapia com carboplatina e etoposido&#44; tendo falecido 6 meses ap&#243;s o diagn&#243;stico&#46; Constata-se&#44; com este caso&#44; que a manifesta&#231;&#227;o pleural do HEE tem um comportamento agressivo&#44; semelhante ao do angiossarcoma&#44; com uma sobrevida de apenas alguns meses ap&#243;s o diagn&#243;stico&#46;</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010&#59; XVI &#40;3&#41;&#58; 477-482</span></p></span>"
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        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Epithelioid Hemangioendothelioma &#40;EHE&#41; is a vascular tumour with rare pleural presentation&#46; As there are a small number of cases described in the literature the authors present the case of a 65-year-old woman&#44; who was admitted to the Emergency Department for a right-sided chest pain&#44; which progressed over 7 months&#44; after a thoracic trauma&#46; The chest X-ray showed signs of a moderate right-sided pleural effusion&#46; A pleural-pulmonary biopsy carried out by toracotomy established the histological diagnosis of EHE of the pleura&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">Due to the locally advanced stage of the tumour&#44; chemotherapy with carboplatin and etoposide was prescribed and the patient died 6 months later&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">This case confirms that pleural EHE has an aggressivebehaviour&#44; similar to an angiossarcoma&#44; with a median survival of only a few months after diagnosis&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010&#59; XVI &#40;3&#41;&#58; 477-482</span></p></span>"
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Article information
ISSN: 08732159
Original language: Portuguese
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