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腘动脉上皮样血管肉瘤——原发性还是继发性?一种罕见的疾病实体,诊断困难且易被忽视——文献研究和病例报告。

Epithelioid Angiosarcoma of the Popliteal Artery- Primary or Secondary? A Rare Disease Entity Difficult to Diagnose and Easily Overlooked-Literature Research and Case report.

机构信息

Department of Vascular and Endovascular Surgery, Klinikum Saarbruecken, Saarbruecken, Germany.

Department of Vascular and Endovascular Surgery, Klinikum Saarbruecken, Saarbruecken, Germany.

出版信息

Ann Vasc Surg. 2021 Jul;74:524.e1-524.e7. doi: 10.1016/j.avsg.2021.02.010. Epub 2021 Apr 5.

Abstract

INTRODUCTION

The popliteal artery is a common site of aneurysm formation, whereas sarcomas of the vascular system are very rare. The diagnosis is very difficult to establish. During our literature research we found only seven reports about angiosarcomas of the popliteal artery. Four of them were associated with aneurysms. Because of the poor prognosis early diagnosis is the key to successful treatment.

REPORT

We present a well-documented case of an 83-year-old patient with an angiosarcoma of the popliteal artery diagnosed as a popliteal artery aneurysm at first.

CONCLUSION

It is important to think of this rare, highly aggressive tumor entity. Especially the aneurysms that need revision surgery should cause suspicion- histological samples from the aneurysm wall should always be taken.

摘要

简介

腘动脉是动脉瘤形成的常见部位,而脉管系统肉瘤则非常罕见。诊断非常困难。在我们的文献研究中,我们只发现了七个关于腘动脉血管肉瘤的报告。其中四个与动脉瘤有关。由于预后较差,早期诊断是成功治疗的关键。

报告

我们介绍了一个有充分记录的病例,一名 83 岁的患者,最初被诊断为腘动脉瘤的腘动脉血管肉瘤。

结论

重要的是要想到这种罕见的、侵袭性很强的肿瘤实体。特别是需要进行修复手术的动脉瘤应引起怀疑-应始终从动脉瘤壁采集组织样本。

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