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一例导致门静脉高压的血管肉瘤浸润病例。

An Infiltrative Case of Angiosarcoma Causing Portal Hypertension.

作者信息

Bae Gina, Dunleavy Katie A, Hagen Catherine, Simonetto Douglas A, Abdelmalek Manal F

机构信息

Alabama College of Osteopathic Medicine, Dothan, AL.

Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, Rochester, MN.

出版信息

ACG Case Rep J. 2024 Oct 10;11(10):e01532. doi: 10.14309/crj.0000000000001532. eCollection 2024 Oct.

Abstract

Hepatic angiosarcoma is a rare and aggressive liver tumor. We report a case study of an 82-year-old elderly gentleman who presented with failure to thrive and ascites. Initially suspected to be cirrhosis, biopsy results eventually concluded angiosarcoma of the liver. Our patient presented with an infiltrative form, rather than distinct masses, which led to portal hypertension and ascites. The variance in symptomatology and radiology presentations make a diagnosis of hepatic angiosarcoma challenging and require a high index of suspicion.

摘要

肝血管肉瘤是一种罕见且侵袭性强的肝脏肿瘤。我们报告了一例82岁老年男性的病例研究,该患者表现为生长发育迟缓及腹水。最初怀疑为肝硬化,活检结果最终确诊为肝血管肉瘤。我们的患者呈现浸润性表现,而非明显的肿块,这导致了门静脉高压和腹水。症状学和放射学表现的差异使得肝血管肉瘤的诊断具有挑战性,需要高度的怀疑指数。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5af/11466120/da49e8d633e9/ac9-11-e01532-g001.jpg

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