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乳腺原发性血管肉瘤并发弥散性血管内凝血(DIC)综合征:病例报告及文献复习

Primary angiosarcoma of the breast complicated by the syndrome of disseminated intravascular coagulation (DIC): Case report and literature review.

作者信息

Alexandrova Elena, Sergieva Sonya, Mihaylova Iglika, Zarkova Antoaneta

机构信息

National Specialized Hospital of Oncology, Sofia, Bulgaria.

Sofia Cancer Center, Sofia, Bulgaria.

出版信息

Rep Pract Oncol Radiother. 2013 Dec 8;19(3):221-5. doi: 10.1016/j.rpor.2013.10.003. eCollection 2014 May.

Abstract

Primary angiosarcoma of the breast (PAB) accounts for 0.04% of all breast malignant tumors. It affects young women usually at third or fourth decades of life. PAB clinically manifests as a painless, movable mass with sharp limits. A bluish red discoloration of the overlying skin is often observed. Enlargement of axillary lymph nodes generally does not occur. Angiosarcoma of the breast has a very poor prognosis due to the tendency to metastasize haematogenously and high frequency of local recurrence. Mastectomy and chemotherapy are preferable treatment choices. This paper presents a case of primary angiosarcoma of the breast with a syndrome of disseminated intravascular coagulation (DIC).

摘要

乳腺原发性血管肉瘤(PAB)占所有乳腺恶性肿瘤的0.04%。它通常影响二三十岁的年轻女性。PAB临床上表现为边界清晰、可移动的无痛性肿块。常可见覆盖其上的皮肤呈蓝红色变色。腋窝淋巴结一般不肿大。乳腺血管肉瘤预后很差,因为其有血行转移倾向和局部复发频率高。乳房切除术和化疗是较好的治疗选择。本文报告了一例伴有弥散性血管内凝血(DIC)综合征的乳腺原发性血管肉瘤病例。

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