Spleen rupture due to primary angiosarcoma

被引：5
作者：
Koutelidakis I.M. [1 ]
Tsiaousis P.Z. [2 ]
Papaziogas B.T. [1 ]
Patsas A.G. [1 ]
Atmatzidis S.K. [1 ]
Atmatzidis K.S. [1 ]
机构：
[1] 2nd Department of Surgery, Aristoteles University of Thessaloniki, G. Gennimatas General Hospital, Thessaloniki
[2] Thessaloniki 54638, 32, Katsimidi Str.
来源：
Journal of Gastrointestinal Cancer | 2007年 / 38卷 / 2-4期
关键词：
Primary spleen angiosarcoma; Spleen rupture; Spleen tumors;
D O I：
10.1007/s12029-008-9034-y
中图分类号：
学科分类号：
摘要：
A case of a 79-year-old female with rupture of the spleen due to primary angiosarcoma is presented. Symptoms were non-specific. Diagnosis was based on histology postoperatively. Primary angiosarcoma of the spleen is a very rare and aggressive neoplasm with a high metastatic rate and almost uniformly fatal. Due to small number of reported cases, there are no guidelines concerning adjuvant or palliative treatment or any beneficial protocols of chemotherapy or radiotherapy up to date. Splenectomy prior to rupture seems to have a positive impact on long-term survival. © 2008 Humana Press Inc.
引用
收藏
页码：74 / 77
页数：3
相关论文
共 21 条
  • [1] Langhans T., Pulsating cavernous neoplasm of the spleen with metastatic nodules to the liver, Virchows Arch Pathol Anat, 75, pp. 273-291, (1879)
  • [2] Naka N., Ohsawa M., Tomita Y., Et al., Prognostic factors in angiosarcoma: A multivariate analysis of 55 cases, J Surg Oncol, 61, pp. 170-176, (1996)
  • [3] Neuhauser T.S., Derringer G.A., Thompson L.D., Et al., Splenic angiosarcoma: A clinicopathologic and immunophenotypic study of 28 cases, Mod Pathol, 13, pp. 978-987, (2000)
  • [4] Falk S., Krishnan J., Meis J.M., Primary angiosarcoma of the spleen: A clinicopathologic study of 40 cases, Am J Surg Pathol, 17, pp. 959-970, (1993)
  • [5] Autry J.R., Weitzner S., Hemangiosarcoma of spleen with spontaneous rupture, Cancer, 35, pp. 534-539, (1975)
  • [6] Smith V.C., Eisenberg B.L., McDonald E.C., Primary splenic angiosarcoma: Case report and literature review, Cancer, 55, pp. 1625-1627, (1985)
  • [7] Maier A., Bataille F., Krenz D., Anthuber M., Ein Angiosarkom als seltene Differenzialdiagnose der spontanen Milzruptur, Chirurg, 75, pp. 70-74, (2004)
  • [8] Villedieu Poignant S., Mermet L., Bousquet A., Dupont P., Une cause rare d' hemoperitoine spontane, Rev Med Interne, 21, pp. 809-811, (2000)
  • [9] Mahony B., Jeffrey R.B., Federle M.P., Spontaneous rupture of hepatic and splenic angiosarcoma demonstrated by CT, Am J Roentgenol, 138, pp. 965-966, (1982)
  • [10] Mayir B., Colak T., Dinckan A., Spontaneous spleen rupture due to primary splenic angiosarcoma: A case report, Ulus Travma Acil Cerrahi Derg, 13, 4, pp. 313-315, (2007)
123