Chen Gen, Li Jianfeng, Wan Renhua, Wang Guorong, Shi Jun
Department of General Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi 330006, P.R. China.
Oncol Lett. 2016 Apr;11(4):2445-2448. doi: 10.3892/ol.2016.4277. Epub 2016 Feb 25.
Primary hepatic angiosarcoma (PHA) is rare, does not possess any characteristic tumor markers, is primarily observed in the elderly, and often presents with nonspecific symptoms, including discomfort or distension of the abdomen, weight loss and fatigue. Thus, PHA is difficult to diagnose, particularly if the patient presents no history of exposure to carcinogens, and its definitive diagnosis requires histological examination following surgery. Patients with PHA present poor long-term survival, and surgical resection of the tumor is currently the best treatment option for PHA. In the present report, the case of a 64-year-old man initially diagnosed with hydatid cyst, who was subsequently diagnosed with a giant PHA in the middle of the liver, is described. Further studies are required to investigate the diagnosis and treatment of PHA.
原发性肝血管肉瘤（PHA）较为罕见，不具备任何特征性肿瘤标志物，主要见于老年人，常表现为非特异性症状，包括腹部不适或胀满、体重减轻和乏力。因此，PHA很难诊断，尤其是在患者无接触致癌物病史的情况下，其确诊需要术后进行组织学检查。PHA患者的长期生存率较低，目前手术切除肿瘤是PHA的最佳治疗选择。在本报告中，描述了一名64岁男性患者的病例，该患者最初被诊断为肝包虫囊肿，随后被诊断为肝中部巨大PHA。需要进一步研究PHA的诊断和治疗。
