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原发性主动脉血管肉瘤:两例病例回顾,凸显独特的影像学和临床特征

Primary Aortic Angiosarcoma: A Review of Two Cases Highlighting Unique Imaging and Clinical Characteristics.

作者信息

Keltner Case H, Lima Ana Paula Santos, West Malinda, Gundle Kenneth R, Fuss Cristina, Davis Lara E

机构信息

School of Medicine (C.H.K.), Department of Diagnostic Radiology (A.P.S.L., C.F.), Knight Cancer Institute (M.W., L.E.D.), and Department of Orthopaedics & Rehabilitation (K.R.G.), Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, Portland, OR 97239; and Operative Care Division, Portland VA Medical Center, Portland, Ore (K.R.G.).

出版信息

Radiol Cardiothorac Imaging. 2021 Jul 29;3(4):e210040. doi: 10.1148/ryct.2021210040. eCollection 2021 Aug.

Abstract

Angiosarcomas are rare vascular connective tissue tumors originating from the tunica intima, media, or adventitia and may arise in large vessels. Here two cases of primary angiosarcoma of the aorta are described that highlight initial manifestations and unique complications from diffuse arterial tumor emboli, which led to delayed cancer diagnosis. In patients with aortic lesions, imaging characteristics must be thoughtfully reconciled with clinical scenarios, particularly in patients with no additional evidence of atherosclerosis or vasculitis. Oncology, Neoplasms-Primary, MR-Angiography, Aorta © RSNA, 2021.

摘要

血管肉瘤是起源于内膜、中膜或外膜的罕见血管结缔组织肿瘤,可发生于大血管。本文描述了两例主动脉原发性血管肉瘤病例,突出了弥漫性动脉肿瘤栓子的初始表现和独特并发症,这些并发症导致癌症诊断延迟。对于有主动脉病变的患者,必须认真结合影像学特征与临床情况进行分析,尤其是在没有动脉粥样硬化或血管炎额外证据的患者中。肿瘤学、原发性肿瘤、磁共振血管造影、主动脉 © RSNA,2021年。

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