Hwang T L, Sun C F, Chen M F
Department of Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.
J Formos Med Assoc. 1993 Jul;92(7):658-61.
A case of angiosarcoma of the small intestine is reported. The patient had a past history of cervical cancer, for which she had received radiotherapy eight years previously. She presented with an acute abdomen, and a distal jejunal perforation was found during emergency surgery. The patient expired due to reperforation of the bowel with peritonitis two months after discharge. The pathology of the resected bowel segment showed evidence of previous radiotherapy and infiltration by angiosarcoma involving all layers of the bowel, which had perforated. Submucosal fibrosis and angioectasia indicative of radiation therapy were also evident. The findings suggest that angiosarcoma of the small intestine may occur at sites of previous radiation therapy and may be causally related.
报告了一例小肠血管肉瘤病例。该患者有宫颈癌病史，八年前曾接受过放射治疗。她因急腹症就诊，急诊手术时发现空肠远端穿孔。患者出院两个月后因肠再穿孔伴腹膜炎死亡。切除肠段的病理显示有既往放疗证据以及血管肉瘤浸润，累及肠壁全层并已穿孔。提示放疗的黏膜下纤维化和血管扩张也很明显。这些发现表明小肠血管肉瘤可能发生在既往放疗部位，且可能存在因果关系。
