Axillary arterial angiosarcoma in a nonfunctioning arteriovenous fistula limb of a patient undergoing hemodialysis: case report with literature review

被引：3

作者：

Aihara, Seishi ^{[1
,2
]}

Saito, Shunichi ^{[1
]}

Oka, Hideaki ^{[1
]}

Kamimura, Taro ^{[1
]}

Yamaoka, Terutoshi ^{[3
]}

Kajiwara, Kotaro ^{[4
]}

Nakano, Toshiaki ^{[2
]}

Kitazono, Takanari ^{[2
]}

机构：

[1] Matsuyama Red Cross Hosp, Kidney Ctr, Matsuyama, Ehime, Japan

[2] Kyushu Univ, Grad Sch Med Sci, Dept Med & Clin Sci, Higashi Ku, 3-1-1 Maidashi, Fukuoka 8128582, Japan

[3] Matsuyama Red Cross Hosp, Dept Vasc Surg, Matsuyama, Ehime, Japan

[4] Matsuyama Red Cross Hosp, Dept Resp Med, Matsuyama, Ehime, Japan

来源：

CEN CASE REPORTS | 2020年 / 9卷 / 01期

关键词：

Angiosarcoma; Arteriovenous fistula; Axillary artery; Hemodialysis; EPITHELIOID ANGIOSARCOMA; DIALYSIS FISTULA; SITE;

D O I：

10.1007/s13730-019-00422-3

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

A 54-year-old man was admitted to our hospital with a painful left axillary mass. He had a 27-year history of hemodialysis for end-stage kidney disease because of chronic glomerulonephritis. He had a right radial artery-cephalic vein arteriovenous fistula and left nonfunctioning arteriovenous fistula. Computed tomography imaging showed a left axillary arterial mass with peripheral hematoma and multiple lung tumors. On hospital day 3, he showed disturbances in consciousness as well as enlargement of the axillary mass and hematoma. We performed emergency surgery to resect the left axillary tumor. The patient was diagnosed with angiosarcoma upon histopathological examination of the resected specimen on hospital day 15. Because his condition was extremely poor, we provided supportive care to him, not chemotherapy. He expired on hospital day 25. Angiosarcoma remains a rare disease; however, this case highlights the importance of including angiosarcoma in the differential diagnosis for upper extremity pain in patients undergoing hemodialysis.

引用

页码：36 / 41

页数：6

共 21 条

[1] Arterial aneurysm with distal ischemia in a renal allografted patient: beware of angiosarcoma [J].