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頁籤選單縮合
題名 | Intimal Sarcoma Mimicking Acute Pulmonary Embolism=血管內膜骨肉瘤以類似急性肺栓塞為初始表現 |
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作者姓名(中文) | 卓士峰; 張肇松; 林勝豐; | 書刊名 | 臺灣癌症醫學雜誌 |
卷期 | 28:1 2012.03[民101.03] |
頁次 | 頁35-40 |
分類號 | 415.384 |
關鍵詞 | 血管內膜骨肉瘤; 肺動脈栓塞; 免疫組織化學染色; Intimal sarcoma; Pulmonary embolism; Immuno-histochemical study; |
語文 | 英文(English) |
中文摘要 | 血管內膜骨肉瘤是一種十分罕見的惡性腫瘤,文獻上以男性較多,年齡自 14 歲至 71 歲皆有,一般好發於肺動脈,尤其是近端的肺動脈幹,常以引起反覆的肺栓塞症狀來表 現。因為在臨床上的表現難以和肺栓塞區分,且影像學的表現缺乏專一性,往往造成誤 診及延遲診斷,甚至導致錯誤的治療處置及病人死亡。本疾病的診斷有賴於臨床醫師之 警覺性及盡早施行外科手術切片確立診斷,免疫組織化學染色也是重要的診斷工具。本 疾病的預後十分不好,早期發現診斷合併完全腫瘤切除是唯一延長存活的機會。 我們報告一位女性肺動脈血管內膜骨肉瘤之病人,症狀上十分類似肺動脈栓塞,經 由內科治療後最後才進行手術達到確診,此外我們也進行一些相關文獻的回顧。 |
英文摘要 | Intimal sarcoma is a very rare malignancy typically developing in adults, with male preponderance. It often arises from the pulmonary artery, especially the proximal pulmonary trunk. Its clinical manifestations are very similar to those of pulmonary embolism but imaging findings are not specific for proper diagnosis. Early surgical intervention for definitive diagnosis is critical for survival but prognosis is poor and the average survival is a few months. Complete tumor excision is the only curative intervention. This report is a case of intimal sarcoma in an adult female initially presenting with pulmonary embolism-like symptoms. Related articles are also reviewed. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。