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肝血管肉瘤与肝移植:2例诊断困难病例报告

Hepatic angiosarcoma and liver transplant: a report of 2 cases with diagnostic difficulties.

作者信息

Terzi Ayşen, Deniz Emine Ebru, Haberal Nihan, Moray Gökhan, Özdemir Binnaz Handan

机构信息

Department of Pathology, Baskent University Faculty of Medicine, Ankara, Turkey.

出版信息

Exp Clin Transplant. 2014 Mar;12 Suppl 1:126-8.

Abstract

Angiosarcoma is a rare primary malignant mesenchymal tumor of the liver. The prognosis of hepatic angiosarcoma is poor with an average life expectancy of 6 months after diagnosis. Diagnosing hepatic angiosarcoma is challenging because of nondiagnostic liver biopsy or specious history and radiologic presentation. We report 2 cases with hepatic angiosarcoma which were diagnosed histopathologically in the native liver after liver transplant. One of 2 patients was lost to follow-up, and another patient died of relapsing hepatic angiosarcoma 18 months after the liver transplant.

摘要

血管肉瘤是一种罕见的肝脏原发性恶性间叶组织肿瘤。肝血管肉瘤的预后较差,诊断后平均预期寿命为6个月。由于肝活检结果不具诊断性或病史及影像学表现似是而非,肝血管肉瘤的诊断具有挑战性。我们报告2例肝血管肉瘤病例,这2例患者在肝移植后在原位肝脏中经组织病理学确诊。2例患者中的1例失访,另1例患者在肝移植后18个月死于复发性肝血管肉瘤。

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