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以慢性腹泻、直肠出血和盆腔不适为表现的结肠血管肉瘤

Angiosarcoma of the Colon Presenting with Chronic Diarrhea, Rectal Bleeding, and Pelvic Discomfort.

作者信息

Jehangir Asad, Le Brian H, Shogbesan Oluwaseun

机构信息

Hospitalist Services, Reading Health System, Reading Hospital.

Pathology, Reading Health System, Reading Hospital.

出版信息

Cureus. 2017 Mar 26;9(3):e1117. doi: 10.7759/cureus.1117.

DOI:10.7759/cureus.1117
PMID:28451476
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5406170/
Abstract

Colonic angiosarcoma is a rare malignancy representing only 0.0012% of all colorectal malignancies. Due to its non-specific symptoms, diagnosis is often delayed. However, because of the aggressive nature of this malignancy, it is important to keep it in the differential diagnosis of rectal bleeding, pelvic discomfort, chronic diarrhea, and weight loss in patients with risk factors. We present a case of angiosarcoma of the colon in a 74-year-old female with a remote history of chemo-radiation for anal squamous cell carcinoma (ASCC).

摘要

结肠血管肉瘤是一种罕见的恶性肿瘤,仅占所有结直肠恶性肿瘤的0.0012%。由于其症状不具有特异性,诊断往往会延迟。然而,鉴于这种恶性肿瘤的侵袭性,对于有危险因素的患者,在出现直肠出血、盆腔不适、慢性腹泻和体重减轻等症状时,将其纳入鉴别诊断很重要。我们报告一例74岁女性结肠血管肉瘤病例,该患者有肛管鳞状细胞癌(ASCC)的放化疗史。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0326/5406170/3f5fbf4716a3/cureus-0009-00000001117-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0326/5406170/ee33e24558c8/cureus-0009-00000001117-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0326/5406170/048419f051aa/cureus-0009-00000001117-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0326/5406170/3f5fbf4716a3/cureus-0009-00000001117-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0326/5406170/ee33e24558c8/cureus-0009-00000001117-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0326/5406170/048419f051aa/cureus-0009-00000001117-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0326/5406170/3f5fbf4716a3/cureus-0009-00000001117-i03.jpg

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本文引用的文献

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Angiosarcoma of the colon.结肠血管肉瘤
Am Surg. 2015 Apr;81(4):E169-71.
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Clinical and endoscopic features of angiosarcoma of the colon: two case reports and a review of the literature.结肠血管肉瘤的临床及内镜特征:两例病例报告并文献复习
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