Surgery, Saint Barnabas Medical Center, Livingston, New Jersey, USA
Surgery, Saint Barnabas Medical Center, Livingston, New Jersey, USA.
BMJ Case Rep. 2022 Aug 22;15(8):e247253. doi: 10.1136/bcr-2021-247253.
We report a rare case of metastatic epithelioid haemangioendothelioma from an unknown primary site presenting with axillary lymph node metastases. The patient also had a new-onset membranous glomerulonephritis and thromboembolism, which we postulate were paraneoplastic. The pathogenesis of this rare cancer, the risk of misdiagnosis and membranous glomerulonephritis as a paraneoplastic syndrome are discussed.
我们报告了一例罕见的转移性上皮样血管内皮细胞瘤,该肿瘤来源于未知原发灶,伴腋窝淋巴结转移。患者还伴有新发膜性肾小球肾炎和血栓栓塞,我们推测这是副肿瘤性的。讨论了这种罕见癌症的发病机制、误诊风险以及膜性肾小球肾炎作为副肿瘤综合征的可能性。