el-Sharkawi S
Department of Oncology, Singleton Hospital, Swansea, UK.
J Laryngol Otol. 1997 Feb;111(2):175-6. doi: 10.1017/s0022215100136771.
Angiosarcoma of the head and neck is a rare tumour of vascular origin that affects the elderly. A 74-year-old man who presented with bruise-like macules of the scalp and face is reported. He was treated for a few months with different antibiotics and anti-allergic medication by his own family doctor, and referred for specialist opinion when he failed to derive any benefits from the medications. A biopsy was obtained from the lesion and proved to be an angiosarcoma. A review of the literature indicates that the most important prognostic factor in this particular disease is the size of the lesion on presentation, hence the importance of early diagnosis. This case is reported, and the literature for similar cases is reviewed, to highlight the diagnostic and therapeutic aspects of this uncommon aggressive tumour in an attempt to help in the process of early diagnosis.
头颈部血管肉瘤是一种罕见的血管源性肿瘤，好发于老年人。本文报道了一名74岁男性，其头皮和面部出现瘀斑样斑疹。他在家中接受了家庭医生数月的不同抗生素和抗过敏药物治疗，但因用药无效而转诊寻求专科意见。从病变部位取活检，结果证实为血管肉瘤。文献综述表明，这种特定疾病最重要的预后因素是初诊时病变的大小，因此早期诊断至关重要。本文报告该病例并复习类似病例的文献，以突出这种罕见侵袭性肿瘤的诊断和治疗要点，旨在帮助实现早期诊断。
