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当放射治疗成为敌人：一例罕见的头颈部放射性血管肉瘤病例

When Radiation Therapy Becomes a Foe: A Rare Case of Radiation-Induced Angiosarcoma of Head and Neck.

作者信息

Vakil Jay, Cuartas-Mesa Maria Cristina, Jian Hua Liu, Deenadayalan Vaishali, Turk Ekrem

机构信息

Internal Medicine, John H. Stroger, Jr. Hospital of Cook County, Chicago, USA.

Pathology, University of Illinois Chicago, Chicago, USA.

出版信息

Cureus. 2023 Feb 17;15(2):e35122. doi: 10.7759/cureus.35122. eCollection 2023 Feb.

DOI:10.7759/cureus.35122
PMID:36945273
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10024973/
Abstract

Angiosarcomas are a rare subtype of sarcomas originating from vascular endothelial cells. Though frequently found in the head and neck area, there are minimal reports of radiation-induced angiosarcomas in this area. They have a poor prognosis due to a high rate of lymph node metastasis and, hence, require to be addressed promptly in order to improve survival. We present a rare case of radiation-induced angiosarcoma in a patient previously irradiated for squamous cell carcinoma of the neck. Due to variable and complex patient presentations of the disease, this case will help raise awareness of an uncommon complication of a common treatment offered to patients.

摘要

血管肉瘤是一种起源于血管内皮细胞的罕见肉瘤亚型。尽管常见于头颈部区域，但关于该区域辐射诱发血管肉瘤的报道极少。由于其淋巴结转移率高，预后较差，因此需要及时治疗以提高生存率。我们报告了一例罕见的辐射诱发血管肉瘤病例，患者曾因颈部鳞状细胞癌接受过放疗。鉴于该疾病患者的表现多样且复杂，本病例将有助于提高对这种常见治疗中罕见并发症的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7953/10024973/dd8ac9226efe/cureus-0015-00000035122-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7953/10024973/6d961cdf3e7c/cureus-0015-00000035122-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7953/10024973/263356ca1825/cureus-0015-00000035122-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7953/10024973/dd8ac9226efe/cureus-0015-00000035122-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7953/10024973/6d961cdf3e7c/cureus-0015-00000035122-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7953/10024973/263356ca1825/cureus-0015-00000035122-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7953/10024973/dd8ac9226efe/cureus-0015-00000035122-i03.jpg

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本文引用的文献

1
Cutaneous Angiosarcoma of the Head and Neck-A Retrospective Analysis of 47 Patients.头颈部皮肤血管肉瘤——47例患者的回顾性分析
Cancers (Basel). 2022 Aug 8;14(15):3841. doi: 10.3390/cancers14153841.
2
Clinical and Molecular Insights of Radiation-Induced Breast Sarcomas: Is There Hope on the Horizon for Effective Treatment of This Aggressive Disease?辐射诱导性乳腺肉瘤的临床与分子学研究进展：这种侵袭性疾病的有效治疗是否有新的希望？
Int J Mol Sci. 2022 Apr 8;23(8):4125. doi: 10.3390/ijms23084125.
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The Effectiveness of Different Treatment Modalities of Cutaneous Angiosarcoma: Results From Meta-Analysis and Observational Data From SEER Database.
皮肤血管肉瘤不同治疗方式的有效性：来自荟萃分析和监测、流行病学与最终结果（SEER）数据库观察数据的结果
Front Oncol. 2021 Feb 25;11:627113. doi: 10.3389/fonc.2021.627113. eCollection 2021.
4
Radiation-Induced Sarcoma of the Head and Neck Following Radiotherapy for Nasopharyngeal Carcinoma: A Single Institutional Experience and Literature Review.鼻咽癌放疗后头颈部放射性肉瘤：单机构经验及文献综述
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Adv Ther. 2021 Jan;38(1):90-108. doi: 10.1007/s12325-020-01556-y. Epub 2020 Nov 13.
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Radiation-induced angiosarcoma (RIAS) of the maxilla: a case report.上颌骨放射性血管肉瘤：一例报告
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Radiation-Induced Sarcoma of the Head and Neck: A Review of the Literature.头颈部放射性肉瘤：文献综述
Front Oncol. 2018 Oct 17;8:449. doi: 10.3389/fonc.2018.00449. eCollection 2018.
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Br J Radiol. 2017 Jul;90(1075):20170039. doi: 10.1259/bjr.20170039. Epub 2017 May 4.
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Angiosarcoma.血管肉瘤。
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10
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