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皮肤血管肉瘤:一家独特皮肤科诊所收治的三例不同典型病例报告。

Cutaneous angiosarcoma: report of three different and typical cases admitted in a unique dermatology clinic.

作者信息

Cabral Aline Neves Freitas, Rocha Rafael Henrique, Amaral Ana Cristina Vervloet do, Medeiros Karina Bittencourt, Nogueira Paulo Sérgio Emerich, Diniz Lucia Martins

机构信息

Hospital Universitário Cassiano Antônio Moraes, da Universidade Federal do Espírito Santo (Hucam-Ufes) - Vitória (ES), Brazil.

Professional Master´s Programa in Medicine of the Universidade Federal do Espírito Santo (Ufes) - Vitória (ES), Brazil.

出版信息

An Bras Dermatol. 2017 Mar-Apr;92(2):235-238. doi: 10.1590/abd1806-4841.20175326.

Abstract

Angiosarcoma is a rare and aggressive tumor with high rates of metastasis and relapse. It shows a particular predilection for the skin and superficial soft tissues. We report three distinct and typical cases of angiosarcoma that were diagnosed in a single dermatology clinic over the course of less than a year: i) Angiosarcoma in lower limb affected by chronic lymphedema, featuring Stewart-Treves syndrome; ii) a case of the most common type of angiosarcoma loated in the scalp and face of elderly man and; iii) a skin Angiosarcoma in previously irradiated breast. All lesions presented characteristic histopathological findings: irregular vascular proliferation that dissects the collagen bundles with atypical endothelial nuclei projection toward the lumen.

摘要

血管肉瘤是一种罕见且侵袭性强的肿瘤,转移和复发率高。它特别好发于皮肤和浅表软组织。我们报告了在不到一年的时间里,在一家皮肤科诊所确诊的三例不同且典型的血管肉瘤病例:i)患有慢性淋巴水肿的下肢血管肉瘤,具有斯图尔特-特里夫斯综合征;ii)一例位于老年男性头皮和面部的最常见类型的血管肉瘤;iii)一例曾接受过放疗的乳腺皮肤血管肉瘤。所有病变均呈现出特征性的组织病理学表现:不规则的血管增生,其分割胶原束,非典型内皮细胞核向管腔突出。

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