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原发性脾癌肉瘤伴胸壁局部侵犯:1例罕见病例

Primary splenic carcinosarcoma with local invasion of chest wall: a rare case.

作者信息

Sun Ting, Wang Gui-Feng, Zhang Yun

机构信息

Department of Hepatobiliary and Pancreatic Surgery, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China.

出版信息

J Zhejiang Univ Sci B. 2017;18(8):717-722. doi: 10.1631/jzus.B1700262.

Abstract

We herein present a case of carcinosarcoma arising as a primary lesion in the spleen with the presence of local invasion of chest wall prior to widespread metastasis all over the body of a female aged 64 years. The detailed information of therapy and imaging evidences of morphology, histology, and immunohistochemistry are fully provided. To the best of our knowledge, this is the fifth reported case of a primary splenic carcinosarcoma and even the first case to be described with local invasion in the mongoloid. Carcinosarcoma that develops in the spleen with local invasion is extremely rare.

摘要

我们在此报告一例64岁女性原发性脾恶性肉瘤病例,该病例在全身广泛转移之前已出现胸壁局部浸润。文中充分提供了详细的治疗信息以及形态学、组织学和免疫组织化学的影像学证据。据我们所知,这是第五例报告的原发性脾恶性肉瘤病例,也是首例在蒙古人种中描述有局部浸润的病例。发生在脾脏且伴有局部浸润的恶性肉瘤极为罕见。

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J Surg Case Rep. 2012 Jul 1;2012(7):3. doi: 10.1093/jscr/2012.7.3.
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Indian J Med Paediatr Oncol. 2011 Jul;32(3):149-53. doi: 10.4103/0971-5851.92814.
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Evaluation of prognostic factors and treatment outcomes in uterine carcinosarcoma.子宫癌肉瘤预后因素及治疗结果的评估
Eur J Obstet Gynecol Reprod Biol. 2009 Apr;143(2):88-92. doi: 10.1016/j.ejogrb.2008.12.014. Epub 2009 Feb 7.

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