放疗后腹膜血管肉瘤一例报告并文献复习
摘要
目的加强对放疗后腹膜血管肉瘤的认识,以减少临床误诊误治。方法回顾性分析吉林大学第二临床医院近期收治的1例放疗后腹膜血管肉瘤误诊病例资料,并复习相关文献。结果患者为52岁女性,有宫颈癌放疗史,因下腹部胀痛1月余,加重20 d入院。腹腔穿刺有血性腹腔积液,经相关检查后考虑宫颈癌复发转移,行双侧输卵管切除术,术后病理免疫组织化学染色(免疫组化)诊断为腹膜血管肉瘤Ⅳ期。术后给予两周期化疗,随访至今,患者一般状况良好。结论对于以血性腹腔积液为首发症状就诊且有宫颈癌放疗史的患者,临床医生在考虑宫颈癌复发转移的同时,也要想到继发性腹膜血管肉瘤的可能,行病理免疫组化检查有助于确诊。
引文
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[3]韩苏军,李长岭,寿建忠.原发性肾血管肉瘤——附1例报告并结合文献复习[J].癌症进展,2007,5(2):200-205.
[4]Penel N,Marréaud S,Robin Y M,et al.Angiosarcoma:state of the art and perspectives[J].Crit Rev Oncol Hematol,2011,80(2):257-263.
[5]Sakemi M,Sakemi R,Harada M,et al.A case of postirradiation angiosarcoma of the greater omentum with hemorrhage[J].Clin J Gastroenterol,2011,4(5):302-306.
[6]Sakemi M,Sakemi R,Harada M,et al.A case of postirradiation angiosarcoma of the greater omentum with hemorrhage[J].Clin J Gastroenterol,2011,4(5):302-306.
[7]Litvan J,Aghazarian M,Wiley E,et al.Primary peritoneal angiosarcoma:a case report[J].Anticancer Res,2014,34(9):5001-5006.
[8]Suzuki F,Saito A,Ishi K,et al.Intra-abdominal angiosarcomatosis after radiotherapy[J].J Gastroenterol Hepatol,1999,14(3):289-292.
[9]Chudecka-Glaz A,Menkiszak J,Kuzniak S,et al.A rare case of peritoneal disseminated angiosarcoma20 years after ovarian cancer diagnosis[J].Gynecol Obstet Invest,2014,77(1):68-72.
[10]周祥福,周琦,张涛,等.原发性肾血管肉瘤一例报告并文献复习[J].中华腔镜泌尿外科杂志(电子版),2009,3(5):393-397.
[11]Buehler D,Rice S R,Moody J S,et al.Angiosarcoma outcomes and prognostic factors:a 25-year single institution experience[J].Am J Clin Oncol,2014,37(5):473-479.
[12]Abraham J A,Hornicek F J,Kaufman A M,et al.Treatment and outcome of 82 patients with angiosarcoma[J].Ann Surg Oncol,2007,14(6):1953-1967.
[13]Choi J H,Ahn K C,Chang H,et al.Surgical Treatment and Prognosis of Angiosarcoma of the Scalp:A Retrospective Analysis of 14 Patients in a Single Institution[J].Biomed Res Int,2015,2015:321896.
[14]Fury M G,Antonescu C R,Van Zee K J,et al.A14-year retrospective review of angiosarcoma:clinical characteristics,prognostic factors,and treatment outcomes with surgery and chemotherapy[J].Cancer J,2005,11(3):241-247.
[15]Pawlik T M,Paulino A F,Mc Ginn C J,et al.Cutaneous angiosarcoma of the scalp:a multidisciplinary approach[J].Cancer,2003,98(8):1716-1726.
[16]Riad S,Biau D,Holt G E,et al.The clinical and functional outcome for patients with radiation-induced soft tissue sarcoma[J].Cancer,2012,118(10):2682-2692.
[17]Fata F,O'Reilly E,Ilson D,et al.Paclitaxel in the treatment of patients with angiosarcoma of the scalp or face[J].Cancer,1999,86(10):2034-2037.
[18]李志旺,吴祖光,李恩,等.乳腺血管肉瘤1例并文献复习[J].罕少疾病杂志,2013,20(2):58-59.