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多形性恶性组织细胞瘤:一名因溃疡性结肠炎服用硫唑嘌呤的患者所患的罕见皮肤癌。

Pleomorphic malignant histiocytoma: a rare skin cancer in a patient on azathioprine for ulcerative colitis.

作者信息

Sood Ruchi, Daw Hamed A

机构信息

Department of Internal Medicine, Fairview Hospital, Cleveland, Ohio, USA.

出版信息

BMJ Case Rep. 2012 Jul 3;2012:bcr0320125957. doi: 10.1136/bcr.03.2012.5957.

Abstract

A 67-year-old female who was diagnosed with ulcerative colitis in 2001, presented with a soft tissue mass in the middle of her back of 4 months duration in April 2011. It was excised; however it recurred at the same site in September 2011. Wide excision of the mass was done. Pathology revealed T1aNxM0 pleomorphic malignant fibrous histiocytoma or undifferentiated pleomorphic sarcoma. Whole body bones scan and staging CT scan of the chest, abdomen and pelvis was negative for distant metastasis. She received local radiotherapy at the site of excision. No chemotherapy was given.

摘要

一名67岁女性,2001年被诊断为溃疡性结肠炎,2011年4月因背部正中出现持续4个月的软组织肿块前来就诊。该肿块被切除;然而,2011年9月在同一部位复发。遂对肿块进行了广泛切除。病理检查显示为T1aNxM0多形性恶性纤维组织细胞瘤或未分化多形性肉瘤。全身骨骼扫描以及胸部、腹部和骨盆的分期CT扫描均未发现远处转移。她在切除部位接受了局部放疗。未进行化疗。

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本文引用的文献

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Pleomorphic sarcoma of the neck.颈部多形性肉瘤
J Craniofac Surg. 2011 Nov;22(6):e51-3. doi: 10.1097/SCS.0b013e318231e281.
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Ulcerative colitis.溃疡性结肠炎
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Primary malignant fibrous histiocytoma: a rare case.原发性恶性纤维组织细胞瘤:1例罕见病例。
Case Rep Med. 2011;2011:134801. doi: 10.1155/2011/134801. Epub 2011 Oct 18.
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Skin cancers associated with autoimmune conditions among elderly adults.老年人与自身免疫性疾病相关的皮肤癌。
Br J Cancer. 2010 Jun 29;103(1):112-4. doi: 10.1038/sj.bjc.6605733. Epub 2010 Jun 15.
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Increased risk for non-melanoma skin cancer in patients with inflammatory bowel disease.炎症性肠病患者非黑素瘤皮肤癌风险增加。
Clin Gastroenterol Hepatol. 2010 Mar;8(3):268-74. doi: 10.1016/j.cgh.2009.11.024. Epub 2010 Jan 16.
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Immunosuppression, skin cancer, and ultraviolet A radiation.免疫抑制、皮肤癌与紫外线A辐射
N Engl J Med. 2005 Dec 22;353(25):2712-3. doi: 10.1056/NEJMcibr054224.

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