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一种非典型病症的典型表现：伴有腹膜出血的肝血管肉瘤。

A Typical Presentation of an Atypical Condition: Hepatic Angiosarcoma With Peritoneal Bleed.

作者信息

Afzal Soha, Patel Chintan, Kagathur Santosh, Cole Craig E

机构信息

Internal Medicine, Michigan State University, McLaren Greater Lansing, Lansing, USA.

Hematology-Oncology, Michigan State University, Lansing, USA.

出版信息

Cureus. 2023 Apr 11;15(4):e37455. doi: 10.7759/cureus.37455. eCollection 2023 Apr.

DOI:10.7759/cureus.37455
PMID:37187657
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10175041/
Abstract

Hepatic angiosarcoma (HA) is a rare primary malignancy of hepatic endothelial and fibroblastic vascular tissue origin. Patients typically present with vague constitutional symptoms of fatigue, weight loss, abdominal pain, and ascites. Hemoperitoneum is a frequent clinical manifestation of HA associated with higher mortality and is underrecognized. Here, we report the case of a patient with HA that was complicated by a peritoneal bleed, its management, and associated poor prognosis.

摘要

肝血管肉瘤（HA）是一种罕见的起源于肝内皮和成纤维血管组织的原发性恶性肿瘤。患者通常表现为疲劳、体重减轻、腹痛和腹水等不明确的全身症状。腹腔积血是HA常见的临床表现，与较高的死亡率相关且未得到充分认识。在此，我们报告一例并发腹膜出血的HA患者、其治疗及相关的不良预后情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f6b/10175041/bd2eb02bbd2d/cureus-0015-00000037455-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f6b/10175041/8ed0978f66c8/cureus-0015-00000037455-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f6b/10175041/97002f0d2cde/cureus-0015-00000037455-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f6b/10175041/bd2eb02bbd2d/cureus-0015-00000037455-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f6b/10175041/8ed0978f66c8/cureus-0015-00000037455-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f6b/10175041/97002f0d2cde/cureus-0015-00000037455-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f6b/10175041/bd2eb02bbd2d/cureus-0015-00000037455-i03.jpg

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本文引用的文献

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J Surg Case Rep. 2022 Sep 27;2022(9):rjac406. doi: 10.1093/jscr/rjac406. eCollection 2022 Sep.
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Liver Angiosarcoma with Poor Prognosis in a 61-Year-Old Woman: A Case Report and Literature Review.一名61岁女性预后不良的肝血管肉瘤：病例报告及文献综述
Int J Womens Health. 2022 Jul 27;14:957-963. doi: 10.2147/IJWH.S369271. eCollection 2022.
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Treatment Outcomes for Primary Hepatic Angiosarcoma: National Cancer Database Analysis 2004-2014.
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Curr Oncol. 2022 May 17;29(5):3637-3646. doi: 10.3390/curroncol29050292.
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Hepatic angiosarcoma: Pitfalls in establishing a diagnosis.肝血管肉瘤：诊断中的陷阱。
SAGE Open Med Case Rep. 2021 Sep 17;9:2050313X211046726. doi: 10.1177/2050313X211046726. eCollection 2021.
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