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肝血管肉瘤:一项具有挑战性的诊断。

Hepatic Angiosarcoma: A Challenging Diagnosis.

作者信息

Averbukh Leon D, Mavilia Marianna G, Einstein Michael M

机构信息

Internal Medicine, University of Connecticut Health Center, Hartford, USA.

Internal Medicine, University of Connecticut Health Center, Windsor, USA.

出版信息

Cureus. 2018 Sep 11;10(9):e3283. doi: 10.7759/cureus.3283.

Abstract

Hepatic angiosarcoma (HA) accounts for 2% of primary liver tumors. Though rare, it is exceptionally deadly. The initial presentation of HA is nonspecific and no tumor markers have been associated with it. In general, liver function is maintained until later stages of the disease, often leading to diagnosis once the disease is already advanced or metastatic. In this report, we present the case of a 54-year-old male whose vague symptoms and non-diagnostic liver biopsy delayed the diagnosis of a rapidly progressing HA.

摘要

肝血管肉瘤(HA)占原发性肝肿瘤的2%。虽然罕见,但它极其致命。HA的初始表现不具有特异性,且尚无与之相关的肿瘤标志物。一般来说,肝功能在疾病后期才会受到影响,这常常导致在疾病已经进展或转移时才得以诊断。在本报告中,我们介绍了一名54岁男性的病例,其模糊的症状和无法确诊的肝脏活检结果延误了对快速进展的HA的诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aad6/6235643/bfdd3b7792b0/cureus-0010-00000003283-i01.jpg

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