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原发部位不明的转移性血管肉瘤被误诊为结核病。

Metastatic angiosarcoma of unknown primary site misdiagnosed as tuberculosis.

作者信息

Issakwisa Mwakyula, Mwakyusa Ngwilo, Torres Liset, Ngatunga Cecilia, Chaula Baraka, Maro Haika, Mboma Lazaro, Nguma Irene, Nqwata Lamla, Mujwahuzi Leodegard

机构信息

Department of Internal Medicine Mbeya Zonal Referral Hospital and University of Dar es Salaam Mbeya College of Health and Allied Sciences Mbeya Tanzania.

Department of Radiology Mbeya Zonal Referral Hospital and University of Dar es Salaam Mbeya College of Health and Allied Sciences Mbeya Tanzania.

出版信息

Clin Case Rep. 2020 Sep 16;8(12):3018-3023. doi: 10.1002/ccr3.3243. eCollection 2020 Dec.

DOI:10.1002/ccr3.3243
PMID:33363871
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7752315/
Abstract

Tuberculosis in endemic areas is likely to be overdiagnosed in patients with atypical clinical and imaging findings mimicking tuberculosis, as in our case of angiosarcoma. Detailed history, physical examination, imaging, and histopathology avert diagnosis of tumors as tuberculosis in resource-limited settings, where countless diseases have common clinical and imaging presentations.

摘要

在地方流行区，对于临床和影像学表现不典型、类似结核病的患者，如我们所诊治的血管肉瘤病例，结核病很可能被过度诊断。在资源有限的环境中，详细的病史、体格检查、影像学检查和组织病理学检查有助于避免将肿瘤误诊为结核病，因为在这种环境下，无数疾病都有共同的临床和影像学表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/093b/7752315/ca84bba0f655/CCR3-8-3018-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/093b/7752315/b462aff0a232/CCR3-8-3018-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/093b/7752315/2cc3a95ea4f8/CCR3-8-3018-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/093b/7752315/2bfa65c50ba1/CCR3-8-3018-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/093b/7752315/324057119863/CCR3-8-3018-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/093b/7752315/ca84bba0f655/CCR3-8-3018-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/093b/7752315/b462aff0a232/CCR3-8-3018-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/093b/7752315/2cc3a95ea4f8/CCR3-8-3018-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/093b/7752315/2bfa65c50ba1/CCR3-8-3018-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/093b/7752315/324057119863/CCR3-8-3018-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/093b/7752315/ca84bba0f655/CCR3-8-3018-g005.jpg

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本文引用的文献

1
Primary Colonic Angiosarcoma Seen in a Patient on Calcium Channel Blocker: A Case Report with Summary Analysis of 32 Other Cases from the Literature.钙通道阻滞剂治疗患者中出现的原发性结肠血管肉瘤：1例报告及文献中其他32例病例的汇总分析
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Angiosarcoma treated successfully with anti-PD-1 therapy - a case report.抗 PD-1 治疗成功治疗血管肉瘤 - 病例报告。
J Immunother Cancer. 2017 Jul 18;5(1):58. doi: 10.1186/s40425-017-0263-0.
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Angiosarcoma: clinical and imaging features from head to toe.
血管肉瘤：从头到脚的临床及影像学特征
Br J Radiol. 2017 Jul;90(1075):20170039. doi: 10.1259/bjr.20170039. Epub 2017 May 4.
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Primary Pulmonary Angiosarcoma Presenting with Hemoptysis and Ground-Glass Opacity: A Case Report and Literature Review.以咯血和磨玻璃影为表现的原发性肺血管肉瘤：一例报告并文献复习
Tohoku J Exp Med. 2015 Dec;237(4):273-8. doi: 10.1620/tjem.237.273.
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The utility of ERG, CD31 and CD34 in the cytological diagnosis of angiosarcoma: an analysis of 25 cases.视网膜电图（ERG）、CD31和CD34在血管肉瘤细胞学诊断中的应用：25例分析
J Clin Pathol. 2015 Jan;68(1):44-50. doi: 10.1136/jclinpath-2014-202629. Epub 2014 Oct 28.
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Primary cardiac angiosarcoma in a 25-year-old man: excision, adjuvant chemotherapy, and multikinase inhibitor therapy.一名25岁男性的原发性心脏血管肉瘤：手术切除、辅助化疗及多激酶抑制剂治疗
Tex Heart Inst J. 2013;40(2):186-8.
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A rare case of primary pulmonary epithelioid angiosarcoma detected by (18)F-FDG PET/CT.（18）F-FDG PET/CT 检测到的原发性肺上皮样血管肉瘤 1 例罕见病例。
Clin Nucl Med. 2014 May;39(5):450-2. doi: 10.1097/RLU.0b013e318292f3b3.
8
Primary angiosarcoma of bone: a retrospective analysis of 60 patients from 2 institutions.骨原发性血管肉瘤：来自两家机构的60例患者的回顾性分析。
Am J Clin Oncol. 2014 Dec;37(6):528-34. doi: 10.1097/COC.0b013e31827defa1.
9
Radiation therapy for angiosarcoma: the 35-year University of Florida experience.血管肉瘤的放射治疗：佛罗里达大学 35 年的经验。
Am J Clin Oncol. 2013 Apr;36(2):174-80. doi: 10.1097/COC.0b013e3182436ea3.
10
Imaging sarcomas of the great vessels and heart.大血管及心脏肉瘤的影像学检查
Semin Ultrasound CT MR. 2011 Oct;32(5):377-404. doi: 10.1053/j.sult.2011.06.001.