头皮血管肉瘤的误诊：一例报告。
Misdiagnosis of scalp angiosarcoma: A case report.
作者信息
Yan Zhao-Hong, Li Zhen-Lan, Chen Xiao-Wei, Lian Ya-Wen, Liu Li-Xin, Duan Hao-Yang
机构信息
Department of Rehabilitation Medicine, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China.
Department of Plastic and Aesthetic Surgery, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China.
出版信息
World J Clin Cases. 2023 May 6;11(13):3099-3104. doi: 10.12998/wjcc.v11.i13.3099.
BACKGROUND
Angiosarcoma is a rare malignant tumor. Owing to the lack of specific clinical manifestations of this disease, it is difficult to achieve early diagnosis and start early treatment.
CASE SUMMARY
A 78-year-old male patient was admitted to the hospital because of a bump on his head that did not heal for 4 mo. The patient was diagnosed with a refractory head wound. The patient underwent neoplasm resection and skin grafting surgery in the Plastic Surgery. The neoplasm was sent for pathological examination during the operation. The final pathological results were confirmed scalp angiosarcoma.
CONCLUSION
Our research suggests that pathological examination should be performed for refractory ulcers of the scalp, and physical factor therapy should be used with caution before the diagnosis is clear.
背景
血管肉瘤是一种罕见的恶性肿瘤。由于该疾病缺乏特异性临床表现，难以实现早期诊断并尽早开始治疗。
病例摘要
一名78岁男性患者因头部肿物4个月未愈合入院。患者被诊断为难治性头部伤口。患者在整形外科接受了肿瘤切除和植皮手术。术中将肿瘤送去做病理检查。最终病理结果确诊为头皮血管肉瘤。
结论
我们的研究表明，对于头皮难治性溃疡应进行病理检查，在诊断明确之前应谨慎使用物理因子治疗。
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