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題 名 | Hemangiopericytoma: A Case Report and Literature Review=惡性血管外皮細胞瘤:個案報告與文獻回顧 |
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作 者 | 黃文賢; 邱泰豐; 陳天牧; 李久恆; 周聰鐸; 趙戴光; 鄭天宇; 王先震; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 33:6 民89.11-12 |
頁 次 | 頁291-295 |
分類號 | 416.26 |
關鍵詞 | 惡性血管外皮細胞瘤; Malignant hemangiopericytoma; Immunohistochemistry; |
語 文 | 英文(English) |
中文摘要 | 發生於成人大腿的腫瘤,血管外皮細胞瘤是較少見的,只佔惡性腫瘤的2%以下。因此,在此提出個案報告:一位53歲女性病患,住院前二個月,左大腿因為挫傷而有一個2x2公分的腫塊;起先,以為是皮下血腫而在門診追蹤;不幸,此腫塊越長越大,體重也減輕十公斤;所以,住院接受進一步檢查,發現是一個惡性腫瘤,並接受廣泛性切除手術。手術後,腫瘤的病理報告為低分化性惡性血管外皮細胞瘤,並接受六週的放射性治療。不幸,二個月後,病患因肺及腹部多處轉移而死亡;而知血管外皮細胞瘤須當惡性腫瘤看待,且預後變異很大,而在此提出報告與討論。 |
英文摘要 | Hemangiopericytoma of the thigh in adults is a rare neoplasm that accounts for less than 2 % of soft tissue sarcomas. We report a rare case of low-grade malignant hemangiopericytoma in a 53-year-old woman who presented an initial clinical picture as left thigh hematoma due to trauma. She developed multiple, distant metastasis of the lung and peritoneum and expired 2 months post-radiotherapy. Histopathological examinations of hemangiopericytoma revealed low-grade sarcoma. Malignant tumor cells revealed positive immunohistochemical staining for vimentin and negative for desmin, Actin, Cytokeratin, Factor VIII, and S-100 protein. Malignant hemangiopericytoma in adults should be considered in an important differential diagnosis for soft tissue sarcoma of the thigh. We present this case report with a review of the literature, to demonstrate the malignant character of this neoplasm and its variable prognosis. |
本系統中英文摘要資訊取自各篇刊載內容。