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骨组织细胞样血管瘤:一种可能误诊为血管肉瘤的良性病变。病例报告及文献复习

Histiocytoid hemangioma of bone: a benign lesion which may mimic angiosarcoma. Report of a case and review of literature.

作者信息

Cone R O, Hudkins P, Nguyen V, Merriwether W A

出版信息

Skeletal Radiol. 1983;10(3):165-9. doi: 10.1007/BF00357772.

DOI:10.1007/BF00357772
PMID:6356367
Abstract

Histiocytoid hemangioma is a related family of endothelial cell neoplasms, which was described by Rosai et al. [14] in 1979 and which encompasses a group of osseous, vascular and cutaneous neoplasms. These neoplasms bear a close resemblance to the angiosarcoma/hemangioendothelioma family of malignant neoplasms. A case of histiocytoid hemangioma is reported that presented as a multicentric osseous lesion and was initially diagnosed as angiosarcoma. The patient has had a remarkably benign course and at a later date developed skin and bone lesions diagnosed as angiolymphoid hyperplasia with eosinophilia identical to the initial lesion. This represents the first reported case of identical osseous and cutaneous lesions of the histiocytoid hemangioma group in the same patient and lends credence to Rosai's concept. A review of the literature concerning angiosarcoma/hemangioendothelioma of the bone is presented with the conclusion that some lesions considered to represent multicentric angiosarcoma may represent the more benign histiocytoid hemangioma.

摘要

组织细胞样血管瘤是内皮细胞瘤的一个相关家族,由罗萨伊等人于1979年描述,它包括一组骨、血管和皮肤肿瘤。这些肿瘤与恶性肿瘤中的血管肉瘤/血管内皮瘤家族极为相似。本文报告了一例组织细胞样血管瘤,表现为多中心性骨病变,最初被诊断为血管肉瘤。该患者病程极为良性,后来出现皮肤和骨病变,被诊断为嗜酸性粒细胞增多性血管淋巴样增生,与最初的病变相同。这是首次报道同一患者出现组织细胞样血管瘤组相同的骨和皮肤病变,支持了罗萨伊的观点。本文对有关骨血管肉瘤/血管内皮瘤的文献进行了综述,得出的结论是,一些被认为代表多中心血管肉瘤的病变可能是更良性的组织细胞样血管瘤。

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Histiocytoid hemangioma of bone: a benign lesion which may mimic angiosarcoma. Report of a case and review of literature.骨组织细胞样血管瘤:一种可能误诊为血管肉瘤的良性病变。病例报告及文献复习
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本文引用的文献

1
HEMANGIO-ENDOTHELIOMA: A TUMOR OF BLOOD VESSELS FEATURING VASCULAR ENDOTHELIAL CELLS.血管内皮瘤:一种以血管内皮细胞为特征的血管肿瘤。
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Five year cure in a case of malignant hemangioendothelioma of bone treated with roentgen rays.用X射线治疗的一例骨恶性血管内皮瘤的五年治愈病例。
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Malignant hemangioendothelioma of bone. Fourteen-year follow-up in a case treated with radiation alone.
Cancer. 1969 Jan;23(1):221-4. doi: 10.1002/1097-0142(196901)23:1<221::aid-cncr2820230129>3.0.co;2-z.
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Hemangioendothelioma of bone.
Surg Gynecol Obstet. 1968 Aug;127(2):295-305.
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Angiolymphoid hyperplasia with eosinophilia.伴有嗜酸性粒细胞增多的血管淋巴样增生
Arch Dermatol. 1971 Jan;103(1):50-7.
9
Malignant hemangioendothelioma of the cervical spine. A case report.
J Bone Joint Surg Am. 1970 Jun;52(4):805-8.
10
Hemangioma, hemangiopericytoma, and hemangioendothelioma (angiosarcoma) of bone.
Cancer. 1971 Jun;27(6):1403-14. doi: 10.1002/1097-0142(197106)27:6<1403::aid-cncr2820270621>3.0.co;2-6.