Ziegler C M, Hofele C, Kübler A, Zöller J, Born A
Klinik für Mund-, Kiefer-, Gesichtschirurgie, Universität Heidelberg.
Mund Kiefer Gesichtschir. 1997 Nov;1(6):356-8. doi: 10.1007/BF03043584.
A 64-year-old man presented with a bluish, livid swelling in the region of the lateral alveolar processes of all four quadrants. Evaluation and histopathological findings resulted in the diagnosis of an angiosarcoma at multiple sites. A survey of the literature and an epidemiologic review of our own patients prove this to be an extremely rare occurrence. A partial resection of the maxilla and the mandible on both sides was performed in sano. After discharge, however, a sarcoma was detected in the region of the right scapula 5 months after surgery. Therefore radiation treatment was initiated. The patient died 4 weeks later. The course confirms the poor prognosis of this tumor.
一名64岁男性患者,其四个象限的外侧牙槽突区域出现蓝紫色、青灰色肿胀。评估及组织病理学检查结果确诊为多部位血管肉瘤。文献调研及对我们自己患者进行的流行病学回顾均证实这是一种极为罕见的情况。遂行双侧上颌骨及下颌骨部分切除术,手术顺利。然而,出院后,术后5个月在右肩胛骨区域发现肉瘤。因此开始进行放射治疗。患者4周后死亡。病程证实了该肿瘤预后不良。