Obeng Michael K, Hernandez Ambrosia, Dastgir Amer, Adegboyega Patrick A, Salinas Paul, Gore Dennis C
Department of Surgery, Division of Plastic and Reconstructive Surgery, The University of Texas Medical Branch, Galveston, TX 77555-0724, USA.
J Natl Med Assoc. 2004 Nov;96(11):1507-12.
Angiosarcoma of the scalp is a rare, aggressive, and deadly cancer that affects mainly elderly Caucasian men.
The insidious and masquerading presentation of angiosarcoma poses enormous diagnostic challenges for primary care providers.
PATIENTS/METHODS: We present a case of a 50-year-old black man referred for evaluation of a 3.7-cm-x-5.4-cm ulcerated, fluctuant scalp lesion that had failed to respond to different antibiotics and proper wound care.
Surgical excision and subsequent histopathology revealed angiosarcoma.
This case report highlights the importance of high index of suspicion for early diagnosis of cancerous lesions in wounds and stresses the need to include angiosarcoma in the differential diagnosis for all face and scalp lesions, as early detection may save lives. A comprehensive literature review is also presented.
头皮血管肉瘤是一种罕见、侵袭性且致命的癌症，主要影响老年白人男性。
血管肉瘤隐匿且具有伪装性的表现给初级保健提供者带来了巨大的诊断挑战。
患者/方法：我们报告一例50岁黑人男性病例，该患者因一个3.7厘米×5.4厘米的头皮溃疡、波动性病损前来评估，该病变对不同抗生素及适当伤口护理均无反应。
手术切除及后续组织病理学检查显示为血管肉瘤。
本病例报告强调了对伤口处癌性病变早期诊断保持高度怀疑指数的重要性，并强调在所有面部和头皮病变的鉴别诊断中都需要考虑血管肉瘤，因为早期检测可能挽救生命。同时还进行了全面的文献综述。
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