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头皮血管肉瘤化疗耐药性转移灶的自发消退

Spontaneous regression of chemotherapy-resistant metastases from a scalp angiosarcoma.

作者信息

Suzuki Masahiro, Matsuzuka Takashi, Ikeda Masakazu, Nakaegawa Yuta, Kobayashi Tetsuro, Kawase Tomotaka, Kobari Takehiro, Murono Shigeyuki

机构信息

Department of Otolaryngology, Fukushima Medical University School of Medicine.

出版信息

Fukushima J Med Sci. 2017 Aug 9;63(2):106-111. doi: 10.5387/fms.2016-20. Epub 2017 Jul 5.

Abstract

Angiosarcomas are rare malignant tumors derived from endothelial cells and occur most commonly in the scalp and the face. The prognosis is poor. Therefore, spontaneous regression of angiosarcoma is a rare phenomenon.We describe a case of a 73-year-old man with multiple metastatic angiosarcoma.In the present case, weekly paclitaxel therapy had an effect, but could not be continued because of interstitial pneumonia (IP). Weekly docetaxel therapy did not have an effect, but further chemotherapy was not carried out because aggravation of the IP was a concern.The primary lesion and other metastatic lesions were inconspicuous on the positron emission tomography/computed tomography scan performed in one year and two months after best supportive care.We reported an extremely rare case of spontaneous regression of therapy-resistant metastases of angiosarcoma that has remained controlled for 40 months since the initial diagnosis.

摘要

血管肉瘤是一种罕见的起源于内皮细胞的恶性肿瘤,最常发生于头皮和面部。其预后较差。因此,血管肉瘤的自发消退是一种罕见现象。我们报告一例73岁男性多发转移性血管肉瘤病例。在本病例中,每周一次的紫杉醇治疗有效果,但因间质性肺炎(IP)而无法继续。每周一次的多西他赛治疗无效,但由于担心IP加重而未进行进一步化疗。在最佳支持治疗后1年零2个月进行的正电子发射断层扫描/计算机断层扫描中,原发灶和其他转移灶不明显。我们报告了一例极其罕见的血管肉瘤治疗抵抗性转移灶自发消退的病例,自初始诊断以来已得到控制40个月。

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