Pülhorn Heinke, Elliot Timothy, Clark Jonathan, Gonzalvo Augusto
Department of Neurosurgery, Austin Health, 145 Studley Road, Melbourne 3084, Australia.
Department of Radiology, Austin Health, 145 Studley Road, Melbourne 3084, Australia.
J Clin Neurosci. 2017 Nov;45:129-131. doi: 10.1016/j.jocn.2017.07.018. Epub 2017 Aug 1.
Angiosarcomas (ASs) are rare malignant vascular tumours, which only occasionally occur in the spine. The prognosis is generally poor due to rarity of the condition as well as lack of data of treatment options. We present the case of a 75-year old man with a primary angiosarcoma of C2 and C3 who underwent occipito-cervical (to C6) fixation. A first biopsy did not result in a diagnosis and a further anterior approach with repeat biopsy had to be undertaken. The patient received adjuvant radiotherapy and at 6-month follow-up there was no radiological progression of the angiosarcoma. ASs are a rare condition and due to paucity of data relating to management cases should be reported to aid understanding and development of guidelines for diagnosis and treatment.
血管肉瘤（ASs）是一种罕见的恶性血管肿瘤，仅偶尔发生于脊柱。由于该疾病罕见以及缺乏治疗方案的数据，其预后通常较差。我们报告一例75岁男性患者，患有C2和C3原发性血管肉瘤，接受了枕颈（至C6）固定术。首次活检未得出诊断结果，因此不得不采用进一步的前路入路并重复活检。患者接受了辅助放疗，在6个月的随访中，血管肉瘤没有影像学进展。血管肉瘤是一种罕见疾病，由于缺乏与管理相关的数据，应报告病例以帮助理解和制定诊断及治疗指南。
