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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.

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/7953/10024973/6d961cdf3e7c/cureus-0015-00000035122-i01.jpg

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