Deléaval J P, Peter M Y, Laurencet F, Fontolliet C
Département de Pathologie, Hôpital Cantonal Universitaire de Genève, CMU, Suisse.
Ann Pathol. 1991;11(5-6):342-4.
The authors describe the case of a seventy-four year old female with no past medical history, in whom a duodenal angiosarcoma was found during investigation for anemia. Despite adequate surgical excision, hemorrhage persisted and the patient died. Autopsy disclosed multiple angiosarcomatous tumours in the colon and pulmonary micrometastases. Angiosarcoma is a rare tumour in the digestive tract. Multiple tumors occur but are often difficult to detect. In the present case, radiologican and angiographic investigations did not confirm the diagnosis, which was made on endoscopic and surgical findings and substantiated by histological examination of the surgical specimen.
作者描述了一名74岁无既往病史的女性病例,该患者在因贫血进行检查时发现患有十二指肠血管肉瘤。尽管进行了充分的手术切除,但仍持续出血,患者最终死亡。尸检发现结肠有多发性血管肉瘤肿瘤以及肺部微转移。血管肉瘤在消化道中是一种罕见的肿瘤。会出现多个肿瘤,但往往难以检测到。在本病例中,放射学和血管造影检查未确诊,诊断是基于内镜和手术检查结果,并通过手术标本的组织学检查得以证实。