Chami T N, Ratner L E, Henneberry J, Smith D P, Hill G, Katz P O
Department of Gastroenterology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Am J Gastroenterol. 1994 May;89(5):797-800.
A case of primary intestinal angiosarcoma in a 59-yr-old man is reported. The patient had recurrent gastrointestinal bleeding with normal upper and lower gastrointestinal endoscopies, technetium-99m-labeled erythrocyte scan, and angiography. Barium small bowel series and abdominal computerized tomography showed an ileal mass. Pathological examination was consistent with hemangiosarcoma with both solid and vasoformative patterns. Metastatic disease was also identified in the small bowel mesentery, liver, spleen, lungs, and brain. No identifiable underlying or epidemiologic factors have previously been reported to be associated with this rare type of tumor of the gastrointestinal tract. The pertinent literature on gastrointestinal angiosarcoma also is reviewed.
报告了一例59岁男性原发性肠道血管肉瘤病例。该患者反复出现胃肠道出血，上、下消化道内镜检查、99m锝标记红细胞扫描及血管造影均正常。小肠钡剂造影和腹部计算机断层扫描显示回肠有肿块。病理检查符合同时具有实体型和血管形成型的血管肉瘤。在小肠系膜、肝脏、脾脏、肺和脑也发现了转移病灶。此前尚未有可识别的潜在或流行病学因素被报道与这种罕见的胃肠道肿瘤相关。本文还对胃肠道血管肉瘤的相关文献进行了综述。
