病例报告：上肢血管肉瘤与无功能动静脉瘘相关。
Case Report: Angiosarcoma in the Upper Extremity Related to a Nonfunctioning Arteriovenous Fistula.
作者信息
Gale Andrea L, Marco Rex A W, Liberman Shari R, Zavlin Dmitry, Echo Anthony
机构信息
1 Department of Orthopedic Surgery, Houston Methodist Hospital, TX, USA.
2 Department of Orthopedic Surgery, Weill Cornell Medicine, New York, USA.
出版信息
Hand (N Y). 2017 Sep;12(5):NP132-NP135. doi: 10.1177/1558944717702466. Epub 2017 Apr 7.
BACKGROUND
Angiosarcoma is a rare but aggressive malignancy with a high predilection for the head and neck. There have been few case reports of the development of angiosarcoma in a nonfunctional arteriovenous fistula in a hemodialysis patient.
METHODS
After institutional review board approval, a retrospective chart analysis is conducted to present the case of a patient who received plastic surgical treatment at our hospital.
RESULTS
We present the case of a 44-year-old male who presented with ischemic changes and paresthesias of the upper extremity associated with the development of angiosarcoma in an arteriovenous fistula.
CONCLUSIONS
Angiosarcoma remains a rare but important diagnosis to include in the differential diagnosis for upper extremity pain and paresthesias in chronic renal failure and nonfunctioning arteriovenous fistula.
背景
血管肉瘤是一种罕见但侵袭性强的恶性肿瘤，高度好发于头颈部。关于血液透析患者非功能性动静脉瘘发生血管肉瘤的病例报告很少。
方法
经机构审查委员会批准后，进行回顾性病历分析以呈现一名在我院接受整形手术治疗的患者的病例。
结果
我们报告一例44岁男性患者，其上肢出现缺血性改变和感觉异常，与动静脉瘘中血管肉瘤的发生有关。
结论
血管肉瘤仍然是一种罕见但重要的诊断，在慢性肾衰竭和无功能动静脉瘘患者上肢疼痛和感觉异常的鉴别诊断中应予以考虑。
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