Lum Sai Guan, Mahmud Nurhamizah, Isa Nurismah, Mat Baki Marina
Universiti Kebangsaan Malaysia Medical Centre, Hospital Canselor Tuanku Muhriz, Department of Otorhinolaryngology, Head and Neck Surgery, Kuala Lumpur, Malaysia.
Universiti Kebangsaan Malaysia Medical Centre, Hospital Canselor Tuanku Muhriz, Department of Pathology, Kuala Lumpur, Malaysia.
Medeni Med J. 2020;35(4):349-355. doi: 10.5222/MMJ.2020.83479. Epub 2020 Dec 25.
Angiosarcoma is one of the rarest types of malignant vascular tumours that involved the head and neck region. It predominantly affects the scalp and superficial soft tissues. Angiosarcoma arising from the deep cervical soft tissue is extremely rare. There is a limited literature on neck angiosarcoma that occurred simultaneously with papillary thyroid carcinoma. We report a rare case of concurrent papillary thyroid carcinoma and cervical epithelioid angiosarcoma, and postoperative rapid progression of residual angiosarcoma that mimicked a neck haematoma. The diagnostic challenge and possible etiologies have been discussed here.
血管肉瘤是累及头颈部区域的最罕见的恶性血管肿瘤类型之一。它主要影响头皮和浅表软组织。起源于颈深部软组织的血管肉瘤极为罕见。关于与甲状腺乳头状癌同时发生的颈部血管肉瘤的文献有限。我们报告了一例罕见的甲状腺乳头状癌与宫颈上皮样血管肉瘤并发的病例,以及残余血管肉瘤术后迅速进展,类似颈部血肿的情况。本文讨论了诊断挑战和可能的病因。