【消化道出血引发原发性小肠血管肉瘤1例】。

Q4 Medicine
Kensuke Kakisako, Shumpei Mukai, Noriyuki Ogata, Chihiro Koike, Souta Komai, Shouhei Matsudo, Koki Shibata, Kei Tateno, Mihoko Nakagawa, Hiroaki Kobayashi, Yojiro Takano, Junichi Seki, Shoji Shimada, Kenta Nakahara, Yoshiaki Ozawa, Yusuke Takehara, Yuta Enami, Naruhiko Sawada, Fumio Ishida, Shinei Kudo
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引用次数: 0

摘要

一名87岁的男子曾因心悸和消化系统出血到另一家医院就诊。他因贫血被转介到我们医院。小肠内窥镜检查显示病变升高,并伴有回肠出血。行小肠部分切除,诊断为小肠血管肉瘤。应病人的要求,他被转到另一家医院。第三期胸部转移患者行放射治疗。术后9个月,患者因便血来我院就诊。因怀疑吻合口复发而行手术。组织病理学检查证实小肠血管肉瘤复发。患者目前正在门诊观察。血管肉瘤预后较差,但应根据患者的年龄和一般情况选择合适的治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[A Case of Primary Angiosarcoma of the Small Intestine Triggered by Gastrointestinal Bleeding].

An 87-year-old man with complaints of palpitations and digestive bleeding previously visited another hospital. He was referred to our hospital because of anemia. Small bowel endoscopy revealed an elevated lesion with bleeding from the ileum. Partial resection of the small intestine was performed, and small intestinal angiosarcoma was diagnosed. The patient was referred to another hospital upon his request. Radiotherapy was performed for tertiary chest metastases. Nine months after the surgery, the patient visited our hospital with hematochezia. Surgery was performed because of suspected recurrence at the anastomotic site. Histopathological examination confirmed the recurrence of angiosarcoma of the small intestine. The patient is currently undergoing outpatient observation. Angiosarcoma has a poor prognosis, although it is important to select the appropriate treatment according to the patient's age and general condition.

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