Kamo Riei, Ishina Ko, Hirata Chika, Doi Kenichiro, Nakanishi Takeshi, Harada Teruichi, Ishii Masamitsu
Department of Dermatology, Osaka City University Graduate School of Medicine, Asahimachi, Osaka, Japan.
J Dermatol. 2005 Aug;32(8):638-40. doi: 10.1111/j.1346-8138.2005.tb00813.x.
Cutaneous angiosarcoma is a rare aggressive vascular tumor that occurs in elderly patients and is usually located on the head and face. Metastases often develop in the cervical lymph nodes, lungs, bone, liver and spleen. There have been no reports of ileoileal intussusception due to metastatic tumor from cutaneous angiosarcoma. We reported a case of cutaneous angiosarcoma in a 67-year-old Japanese male accompanied with ileoileal intussusception due to metastatic angiosarcoma. We assume that the metastatic tumor in the small intestine was metastasized hematogeneously from cutaneous angiosarcoma, resulting in the formation of nodules and the rapid growth of a pedunculated tumor as a forerunner of the ileoileal intessusception.
皮肤血管肉瘤是一种罕见的侵袭性血管肿瘤，多见于老年患者，通常位于头面部。转移灶常发生于颈部淋巴结、肺、骨、肝和脾。目前尚无皮肤血管肉瘤转移瘤导致回肠套叠的报道。我们报告了一例67岁日本男性皮肤血管肉瘤患者，伴有因转移性血管肉瘤导致的回肠套叠。我们推测小肠中的转移瘤是由皮肤血管肉瘤经血行转移而来，形成结节，并迅速生长为带蒂肿瘤，成为回肠套叠的先兆。
