降主动脉内膜肉瘤酷似主动脉炎
Intimal Sarcoma of the Descending Aorta Mimicking Aortitis.
作者信息
Pucci Angela, De Martino Andrea, Levantino Maurizio, Berchiolli Raffaella, Basolo Fulvio, Bortolotti Uberto
机构信息
Division of Pathology, University Hospital, Pisa, Italy.
Division of Cardiac Surgery, University Hospital, Pisa, Italy.
出版信息
Aorta (Stamford). 2016 Aug 1;4(4):142-145. doi: 10.12945/j.aorta.2016.16.022. eCollection 2016 Aug.
Abstract
We describe a 74-year-old male patient with an intimal sarcoma of the descending aorta mimicking aortitis. The patient presented with lower back pain, fever, and increased C-reactive protein, erythrocyte sedimentation rate, and immunoglobulin G4 (IgG4) serum levels, together with -positive blood cultures. These findings, together with evidence of a 49-mm pseudoaneurysm of the descending thoracic aorta, caused us to suspect aortitis. However, postoperative histology and immunohistochemistry demonstrated the presence of an intimal aortic sarcoma. At the 8-month follow-up, local recurrence of the neoplasm and lung metastases were noted.
摘要
我们描述了一名74岁男性患者，其降主动脉内膜肉瘤酷似主动脉炎。该患者表现为下背部疼痛、发热，C反应蛋白、红细胞沉降率及免疫球蛋白G4（IgG4）血清水平升高，血培养阳性。这些发现，连同降主动脉49毫米假性动脉瘤的证据，使我们怀疑为主动脉炎。然而，术后组织学和免疫组化显示存在主动脉内膜肉瘤。在8个月的随访中，发现肿瘤局部复发和肺转移。
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