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咯血、薄壁肺囊肿和自发性气胸是转移性皮肤血管肉瘤的特征：一例报告。

Hemoptoe, thin-walled lung cysts, and spontaneous pneumothorax are features of metastatic cutaneous angiosarcoma : A case report.

机构信息

Division of Thoracic and Hyperbaric Surgery, Medical University Graz, Auenbruggerplatz 29, 8036, Graz, Austria.

Diagnostic and Research Institute of Pathology, Medical University of Graz, Neue Stiftingtalstr. 6, 8010, Graz, Austria.

出版信息

Wien Med Wochenschr. 2023 Sep;173(11-12):251-255. doi: 10.1007/s10354-022-00934-1. Epub 2022 May 11.

DOI:10.1007/s10354-022-00934-1
Abstract

We present a case of bilateral cystic lung metastases originating from cutaneous angiosarcoma (cAS) of the scalp in a 73-year-old man. He presented with hemoptysis and recurrent bilateral pneumothorax. The clinical, radiological, and histological features and a potential pathophysiological mechanism of pulmonary changes in cutaneous angiosarcoma are discussed.

摘要

我们报告了一例 73 岁男性头皮皮肤血管肉瘤（cAS）起源的双侧肺囊性腺瘤样转移病例。他表现为咯血和反复发生的双侧气胸。讨论了皮肤血管肉瘤肺部变化的临床、放射学和组织学特征及潜在的病理生理学机制。

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1
Hemoptoe, thin-walled lung cysts, and spontaneous pneumothorax are features of metastatic cutaneous angiosarcoma : A case report.咯血、薄壁肺囊肿和自发性气胸是转移性皮肤血管肉瘤的特征：一例报告。
Wien Med Wochenschr. 2023 Sep;173(11-12):251-255. doi: 10.1007/s10354-022-00934-1. Epub 2022 May 11.
2
Association of D2-40 and MMP-1 expression with cyst formation in lung metastatic lesions of cutaneous angiosarcoma on the scalp: immunohistochemical analysis of 23 autopsy cases.头皮皮肤血管肉瘤肺转移灶中囊肿形成与 D2-40 和 MMP-1 表达的关系：23 例尸检病例的免疫组化分析。
Hum Pathol. 2013 Dec;44(12):2751-9. doi: 10.1016/j.humpath.2013.07.022. Epub 2013 Oct 11.
3
[Case report of metastatic cutaneous angiosarcoma causing bilateral pneumothorax].[转移性皮肤血管肉瘤致双侧气胸病例报告]
Nihon Kyobu Shikkan Gakkai Zasshi. 1993 Apr;31(4):498-500.
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Angiosarcoma with pulmonary metastasis presenting with spontaneous bilateral pneumothorax in an elderly man.一名老年男性患有伴肺转移的血管肉瘤，表现为自发性双侧气胸。
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Simultaneous bilateral spontaneous pneumothorax secondary to metastatic angiosarcoma of the scalp: report of a case.头皮转移性血管肉瘤继发双侧同时性自发性气胸：病例报告
Surg Today. 2006;36(10):919-22. doi: 10.1007/s00595-006-3267-9.
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[Face to a bilateral pneumothorax, just scratch your head!].面对双侧气胸，真是让人挠头！
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[Relapsing pneumothorax secondary to thin-walled cavitary pulmonary metastasis from angiosarcoma of the scalp].[头皮血管肉瘤继发薄壁空洞性肺转移导致的复发性气胸]
Nihon Kokyuki Gakkai Zasshi. 1998 Dec;36(12):1058-61.
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[A case of angiosarcoma of the scalp with numerous thin-walled cavitary pulmonary lesions].[1例头皮血管肉瘤伴多发薄壁空洞性肺部病变]
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Bilateral pneumothorax as a presenting feature of metastatic angiosarcoma of the scalp.双侧气胸作为头皮转移性血管肉瘤的首发表现。
Br J Radiol. 1990 Feb;63(746):132-4. doi: 10.1259/0007-1285-63-746-132.

本文引用的文献

1
Pulmonary angiosarcoma presenting with diffuse alveolar hemorrhage: a case report.以弥漫性肺泡出血为表现的肺血管肉瘤：一例报告
Ann Transl Med. 2021 Jan;9(1):74. doi: 10.21037/atm-20-7441.
2
Refractory pneumothorax and hemothorax associated with metastatic scalp angiosarcoma.难治性气胸和血胸与转移性头皮血管肉瘤相关。
Surg Case Rep. 2020 Oct 22;6(1):272. doi: 10.1186/s40792-020-01001-w.
3
Primary and secondary cutaneous angiosarcoma: Distinctive clinical, pathological and molecular features.原发性和继发性皮肤血管肉瘤：独特的临床、病理和分子特征。
Ann Diagn Pathol. 2020 Oct;48:151597. doi: 10.1016/j.anndiagpath.2020.151597. Epub 2020 Aug 15.
4
Clinical and diagnostic features of angiosarcoma with pulmonary metastases: A retrospective observational study.伴有肺转移的血管肉瘤的临床及诊断特征：一项回顾性观察研究。
Medicine (Baltimore). 2017 Sep;96(36):e8033. doi: 10.1097/MD.0000000000008033.
5
Brown Tumors Due to Primary Hyperparathyroidism in a Patient with Parathyroid Carcinoma Mimicking Skeletal Metastases on (18)F-FDG PET/CT.甲状旁腺癌患者的原发性甲状旁腺功能亢进棕色瘤：（18）F-FDG PET/CT 上酷似骨骼转移
Diagnostics (Basel). 2015 Jul 9;5(3):290-3. doi: 10.3390/diagnostics5030290.
6
Recurrent CIC Gene Abnormalities in Angiosarcomas: A Molecular Study of 120 Cases With Concurrent Investigation of PLCG1, KDR, MYC, and FLT4 Gene Alterations.血管肉瘤中CIC基因异常的复发：一项对120例病例的分子研究，同时调查PLCG1、KDR、MYC和FLT4基因改变
Am J Surg Pathol. 2016 May;40(5):645-55. doi: 10.1097/PAS.0000000000000582.
7
Angiosarcoma presenting with spontaneous hydropneumothorax: report of a case and review of the literature.以自发性血气胸为表现的血管肉瘤：1例报告并文献复习
Open Respir Med J. 2014 Dec 26;8:48-54. doi: 10.2174/1874306401408010048. eCollection 2014.
8
Association of D2-40 and MMP-1 expression with cyst formation in lung metastatic lesions of cutaneous angiosarcoma on the scalp: immunohistochemical analysis of 23 autopsy cases.头皮皮肤血管肉瘤肺转移灶中囊肿形成与 D2-40 和 MMP-1 表达的关系：23 例尸检病例的免疫组化分析。
Hum Pathol. 2013 Dec;44(12):2751-9. doi: 10.1016/j.humpath.2013.07.022. Epub 2013 Oct 11.
9
Histological differentiation, histogenesis and prognosis of cutaneous angiosarcoma.皮肤血管肉瘤的组织学分化、组织发生及预后
Osaka City Med J. 2011 Jun;57(1):31-44.
10
An 83-year-old man with bilateral spontaneous pneumothoraces and multiple cysts.一名患有双侧自发性气胸和多个囊肿的83岁男性。
Chest. 2011 Jun;139(6):1536-1539. doi: 10.1378/chest.10-2923.