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同时性双原发性肿瘤：甲状腺乳头状癌和宫颈上皮样血管肉瘤

Concurrent Double Primary Tumours: Papillary Thyroid Carcinoma and Cervical Epithelioid Angiosarcoma.

作者信息

Lum Sai Guan, Mahmud Nurhamizah, Isa Nurismah, Mat Baki Marina

机构信息

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.

出版信息

Medeni Med J. 2020;35(4):349-355. doi: 10.5222/MMJ.2020.83479. Epub 2020 Dec 25.

DOI:10.5222/MMJ.2020.83479
PMID:33717629
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7945733/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c5/7945733/abde5c8f3001/MEDJ-35-349-f8.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c5/7945733/1bafb26e8de7/MEDJ-35-349-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c5/7945733/9d542256f050/MEDJ-35-349-f6.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c5/7945733/abde5c8f3001/MEDJ-35-349-f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c5/7945733/75a43f07da5f/MEDJ-35-349-f1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c5/7945733/d7e56c0485b5/MEDJ-35-349-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c5/7945733/a415f8dc67a1/MEDJ-35-349-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c5/7945733/1bafb26e8de7/MEDJ-35-349-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c5/7945733/9d542256f050/MEDJ-35-349-f6.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c5/7945733/abde5c8f3001/MEDJ-35-349-f8.jpg

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本文引用的文献

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Int J Clin Exp Pathol. 2015 Apr 1;8(4):3901-9. eCollection 2015.
2
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Auris Nasus Larynx. 2015 Feb;42(1):68-71. doi: 10.1016/j.anl.2014.08.018. Epub 2015 Jan 14.
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Anaplastic transformation of papillary thyroid carcinoma in multiple lung metastases presenting with a malignant pleural effusion: a case report.伴恶性胸腔积液的甲状腺乳头状癌肺多发转移灶发生间变转化：1例报告
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Angiosarcoma of the thyroid: a case report with review of the literature.甲状腺血管肉瘤：病例报告并文献复习。
Endocr Pathol. 2013 Sep;24(3):156-61. doi: 10.1007/s12022-013-9253-z.
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An unusual malignant thyroid nodule: coexistence of epithelioid angiosarcoma and follicular variant papillary thyroid carcinoma.一个不寻常的恶性甲状腺结节：上皮样血管肉瘤与滤泡型乳头状甲状腺癌并存。
Endocr Pathol. 2014 Sep;25(3):350-2. doi: 10.1007/s12022-013-9243-1.
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Malignant tumors of blood vessels: angiosarcomas, hemangioendotheliomas, and hemangioperictyomas.血管恶性肿瘤：血管肉瘤、血管内皮瘤和血管外皮细胞瘤。
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