Argirò Renato, Ciccarese Giorgio, Vattermoli Leonardo, Crociati Sara, Iannibelli Vincenzo, Forte Valentina, Morosetti Daniele, Floris Roberto
Interventional Radiology Unit, Department of Biomedicine and Prevention, University of Rome "Tor Vergata", Viale Oxford 81, Rome, 00133, Italy.
Diagnostic Imaging Unit, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Viale Oxford 81, Rome, 00133, Italy.
Radiol Case Rep. 2023 Jul 17;18(9):3346-3350. doi: 10.1016/j.radcr.2023.06.063. eCollection 2023 Sep.
We describe a case of a 65-year-old woman affected by hemangiopericytoma/solitary fibrous tumor of the right shoulder-subclavian region. Hemangiopericytoma/solitary fibrous tumor is a rare tumor of uncertain malignancy. She reports shoulder pain and inability to abduct the arm and elevate the shoulder. Imaging showed erosion of the scapula. The patient underwent 5 sessions of "on demand" embolization in the previous 2 years scheduled for recurrence of symptoms-swelling of tissues. Further 2 treatments were achieved through embolization via 2 different microballoon catheter combined with percutaneous cryoablation with 5 probes. Images after the treatment demonstrate a marked reduction in the hypervascularized area and an increase in the necrosis area. So, this combined treatment is safety and reproducible also in extrahepatic tissue.
我们描述了一例65岁女性，患有右肩-锁骨下区域的血管外皮细胞瘤/孤立性纤维性肿瘤。血管外皮细胞瘤/孤立性纤维性肿瘤是一种恶性程度不确定的罕见肿瘤。她自述肩部疼痛，无法外展手臂和抬高肩部。影像学检查显示肩胛骨有侵蚀。该患者在过去两年中因症状复发（组织肿胀）接受了5次“按需”栓塞治疗。通过使用2种不同的微球囊导管进行栓塞，并结合5根探针的经皮冷冻消融，又进行了2次治疗。治疗后的图像显示，高血管化区域明显减少，坏死区域增加。因此，这种联合治疗在肝外组织中也是安全且可重复的。
