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病例报告：两例肾上腺吻合性血管瘤误诊为血管肉瘤。

Case Report: Two cases of adrenal anastomosing hemangioma misdiagnosed as angiosarcoma.

作者信息

He Dong-Lin, Feng Run-Lin, Guo Xin, Ke Chang-Xing

机构信息

Department of Urology, The Second Affiliated Hospital of Kunming Medical University, Kunming, China.

Department of Pathology, The Second Affiliated Hospital of Kunming Medical University, Kunming, China.

出版信息

Front Oncol. 2025 May 21;15:1534233. doi: 10.3389/fonc.2025.1534233. eCollection 2025.

DOI:10.3389/fonc.2025.1534233
PMID:40469186
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12133939/
Abstract

Anastomosing hemangioma (AH) is a benign vascular tumor that has gradually been recognized in recent years, initially identified in the genitourinary tract. AH located in the adrenal gland is extremely rare, and the atypical preoperative symptoms and imaging findings, as well as the postoperative pathological differential diagnosis, often lead to misdiagnosis. We herein report two case of adrenal AH that was misdiagnosed as adrenal angiosarcoma and review the relevant literature.

摘要

吻合性血管瘤（AH）是一种近年来逐渐被认识的良性血管肿瘤，最初在泌尿生殖道被发现。位于肾上腺的AH极为罕见，其非典型的术前症状和影像学表现，以及术后病理鉴别诊断，常导致误诊。我们在此报告两例被误诊为肾上腺血管肉瘤的肾上腺AH病例，并复习相关文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8b2/12133939/638827e74d9a/fonc-15-1534233-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8b2/12133939/c575c469d842/fonc-15-1534233-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8b2/12133939/176d8937451c/fonc-15-1534233-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8b2/12133939/6a02c0d41b7a/fonc-15-1534233-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8b2/12133939/dddf1b55a945/fonc-15-1534233-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8b2/12133939/638827e74d9a/fonc-15-1534233-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8b2/12133939/c575c469d842/fonc-15-1534233-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8b2/12133939/176d8937451c/fonc-15-1534233-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8b2/12133939/6a02c0d41b7a/fonc-15-1534233-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8b2/12133939/dddf1b55a945/fonc-15-1534233-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8b2/12133939/638827e74d9a/fonc-15-1534233-g005.jpg

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Case Report: Major right-sided hepatectomies in infants in Uzbekistan: a case series.病例报告：乌兹别克斯坦婴儿的右侧大肝切除术：病例系列
Front Pediatr. 2025 Jan 21;12:1495165. doi: 10.3389/fped.2024.1495165. eCollection 2024.
2
Clinical indications, safety, and effectiveness of percutaneous image-guided adrenal mass biopsy: an 8-year retrospective analysis in 160 patients.经皮影像引导下肾上腺肿块活检的临床指征、安全性和有效性：160 例患者 8 年回顾性分析。
Abdom Radiol (NY). 2024 Apr;49(4):1231-1240. doi: 10.1007/s00261-024-04211-0. Epub 2024 Mar 2.
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Multimodal imaging features of retroperitoneal anastomosing hemangioma: a case report and literature review.
腹膜后吻合性血管瘤的多模态影像学特征：一例报告及文献复习
Front Oncol. 2023 Oct 25;13:1269631. doi: 10.3389/fonc.2023.1269631. eCollection 2023.
4
Anastomosing haemangioma of the mediastinum: Clinicopathological series with radiological and genetic characterisation.纵隔吻合性血管瘤：临床病理系列，伴影像学和遗传学特征。
Histopathology. 2024 Feb;84(3):463-472. doi: 10.1111/his.15085. Epub 2023 Nov 7.
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European Society of Endocrinology clinical practice guidelines on the management of adrenal incidentalomas, in collaboration with the European Network for the Study of Adrenal Tumors.欧洲内分泌学会与欧洲肾上腺肿瘤研究网络合作制定的关于肾上腺意外瘤处理的临床实践指南。
Eur J Endocrinol. 2023 Jul 20;189(1):G1-G42. doi: 10.1093/ejendo/lvad066.
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Canadian Urological Association guideline: Diagnosis, management, and followup of the incidentally discovered adrenal mass.加拿大泌尿外科协会指南：偶然发现的肾上腺肿块的诊断、管理及随访
Can Urol Assoc J. 2023 Feb;17(2):12-24. doi: 10.5489/cuaj.8248.
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Anastomosing hemangioma: a current update on clinical, pathological and imaging features.吻合性血管瘤：临床、病理和影像学特征的最新研究进展。
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