共查询到20条相似文献,搜索用时 15 毫秒
1.
T Suzuki A Kitami S Suzuki Y Kamio T Ohkura T Mitsuya 《The Japanese Journal of Thoracic and Cardiovascular Surgery》2000,48(5):315-317
A 50-year-old man sustaining bilateral chest wall angiosarcomas at intervals of several months underwent lesion resection. Angiosarcoma is so rare that we found no case in the literature who had undergone bilateral chest wall surgery for such tumors. His second tumor was thought to be metastatic rather than primary. Despite the 2 surgeries, irradiation, and chemotherapy, however, his prognosis was grave, as in other reports on angiosarcoma. 相似文献
2.
C S Pramesh Bhulaxmi P Madur Sudip Raina Sangeeta B Desai Rajesh C Mistry 《Annals of thoracic and cardiovascular surgery》2004,10(3):187-190
Angiosarcoma is a rare, highly malignant tumor arising from endothelial cells of small blood vessels. They usually occur in the skin, deep soft tissues, breast and liver. Pleural angiosarcomas are extremely rare and are restricted to case reports in medical literature. It is very difficult to distinguish them from malignant mesotheliomas on clinical, radiological and even histopathological features. Immunohistochemistry is valuable in making the diagnosis, showing negative reactivity for mesothelial markers and positivity for vascular markers. Prognosis is generally dismal except in occasional cases where the disease is localized and amenable for surgical resection. We report a 55-year-old man who presented to us with chest pain, cough and hemoptysis and was diagnosed to have a pleural angiosarcoma. 相似文献
3.
Cutaneous Seeding of Hepatocellular Carcinoma Due to Percutaneous Ethanol Injection and Masquerading as a Pyogenic Granuloma 总被引:3,自引:0,他引:3
Mei-Ching Lee MD Yau-Li Huang MD Chih-Hsun Yang MD Tseng-tong Kuo MD Ph D Hong-Shang Hong MD 《Dermatologic surgery》2004,30(3):438-440
BACKGROUND: This investigation reports a 68-year-old man with a history of hepatocellular carcinoma (HCC) diagnosed 2 years previously who developed a single, easy-bleeding, pyogenic granuloma (PG)-like lesion on his right upper abdomen, located in the area of previous therapeutic percutaneous ethanol injection (PEI) for HCC treatment. The lesion developed 3 months after the injection. The tumor was found to be identical to his previous HCC. OBJECTIVE: To describe a case of cutaneous seeding of HCC during PEI presented as a PG-like lesion. To our knowledge, this is the first such case reported in the literature. METHODS: This is a case report and review the literature. RESULTS: Immunostainings for alpha-fetoprotein and hepatocyte monoclonal antibody confirmed the diagnosis. Besides, the patient had no other metastatic lesion. CONCLUSION: This tumor is believed to be caused by cutaneous seeding of HCC during PEI and is simulated clinically as a PG. 相似文献
4.
Dittrick K Allmendinger N Wolpert L Windels M Drezner D Lapuck S Allmendinger P 《Journal of pediatric surgery》2002,37(9):E24
The authors report a case of an idiopathic, isolated infrarenal abdominal aortic aneurysm with dense intramural calcification and sterile mesenteric lymphadenopathy in a 12-year-old boy. Aneurysmal disease in the pediatric population is very uncommon. The majority of previously reported cases have clear associated causes, such as connective tissue disorders, infectious processes, inflammatory states, or trauma. A minority of cases have no distinguishable cause and are classified as idiopathic. Isolated abdominal aortic aneurysms are very uncommon in children, and those with densely calcified walls are rare, with only 2 case reports in the literature. The authors found no previous reports of abdominal aortic aneurysm with associated sterile mesenteric lymphadenopathy. The etiology of this patient's aneurysm remains unknown. J Pediatr Surg 37:E24. 相似文献
5.
Aortic angiosarcomas, one of the three major types of primary aortic tumors, are exceedingly rare, with only 25 cases reported in the literature. Peripheral thromboembolic complications are the most frequently described presenting feature, and therefore, these tumors can be mistaken for aortoiliac occlusive disease. We describe a rare case of an extensive thoracoabdominal angiosarcoma that manifested with hypertension, profound anemia, and visceral ischemia in a young woman. 相似文献
6.
Satoshi Nakamura Shohachi Suzuki Takashi Hachiya Hideto Ochiai Hiroyuki Konno Shozo Baba Satoshi Baba 《Surgery today》1998,28(10):1065-1068
Dissecting aneurysms of the hepatic artery are extremely rare. We report herein the case of a 51-year-old man with massive
hepatic metastases from rectal carcinoma, who was found incidentally to have a left hepatic artery aneurysm by a preoperative
angiography. After replacing the left hepatic artery with a 2-cm segment of long saphenous vein, an extended right lobectomy
with partial resection of the left lateral segment for multiple metastases was successfully performed. To prevent thrombus
formation at the anastomosis, the Pringle maneuver was not used during dissection of the hepatic parenchyma. Histological
examination of the resected specimen showed a dissecting aneurysm of the left hepatic artery, but there were no findings to
suggest the etiology of this disease. The patient is currently alive 13 months after his operation without any evidence of
further recurrence of the carcinoma. To the best our knowledge, 12 case reports of this anomaly have been documented, but
only one of these describes a successful operation. The clinical features and etiology of the hepatic artery aneurysm that
develops independent of other vascular diseases are discussed following this case report. 相似文献
7.
Alfredo E. Romero-Rojas Julio A. Diaz-Perez Deirdre Amaro Alfonso Lozano-Castillo Sandra I. Chinchilla-Olaya 《Head and neck pathology》2013,7(4):409-415
Glioblastoma (GBM) is one of the most highly aggressive neoplasms of the central nervous system. Extra-cranial metastases in GBM are rare. Here we present the case of a 26-year-old man with extra-cranial metastasis of a frontal lobe GBM to the parotid gland, cervical lymph nodes, and bones, with initial diagnosis made by fine needle aspiration cytology (FNAC) of the parotid gland. FNAC is a reliable technique in the study of primary and secondary parotid gland neoplasms, allowing a presumptive diagnosis in difficult cases. We correlate the cytologic, histopathologic, and immunohistochemical findings in this case and discuss previous literature reports. 相似文献
8.
Nobutaka Tanaka Masakazu Nobori Takatoshi Furuya Hiroyuki Okamoto Manabu Asada Haruhisa Simura Tetsu Tsukamoto Yoshio Suzuki 《Surgery today》1997,27(12):1173-1176
Solitary malignant schwannoma of the duodenum is extremely rare. In fact, only two previous reports on successful radical
resection of a solitary malignant schwannoma of the duodenum have been documented in the Japanese literature, and there are
none in the English literature. We report herein the unique case of a 64-year-old man with a malignant schwannoma of the duodenum
in whom both the primary lesion and a metachronous metastatic lesion were successfully resected. The patient initially underwent
a Whipple procedure for a hypervascular tumor in the head of the pancreas. The tumor was composed of palisading spindle cells
and scattered S-100 protein-positive cells with prominent mitotic figures, and was diagnosed as a malignant schwannoma of
the duodenum. A second admission, 3 years later, revealed the presence of a solitary hypervascular hepatic tumor in the anterior
segment of the right lobe of the liver. The hepatic tumor was resected and confirmed, microscopically and immunohistochemically,
as a metastasis from the malignant schwannoma of the duodenum. The patient is alive 3 years and 6 months after his initial
operation. To our knowledge no other report on the successful radical resection of both primary and metastatic lesions has
been documented. This case report therefore highlights the importance of performing follow-up examinations focusing on the
liver, and encourages an aggressive surgical attitude for the treatment of this unusual disease. 相似文献
9.
Nuri Yigit Yildirim Karslioglu Uzeyir Yildizoglu Omer Karakoc 《Head and neck pathology》2015,9(2):286-292
Dermoid cysts (DCs)are benign lesions and histologically composed of tissues originating from ectoderm and mesoderm, but not endoderm. Approximately 7 % of all DCs are seen in head and neck area. However, parotid gland is an extremely rare localization in which DCs develop, and only 17 cases have been reported in the literature to date. Correct preoperative diagnosis is difficult to be established due to the rarity and ambiguous radiological findings. We report a case of a 21-year old man. All previous reports reviewed and the pathogenesis as well as the histopathologic and radiologic features are discussed. 相似文献
10.
Taguchi S Ueda T Inoue Y Kashima I Koizumi K 《General thoracic and cardiovascular surgery》2007,55(1):32-34
Case reports of traumatic aortic regurgitation caused by detached commissures are rare. We report a case of a 56-year-old
man involved in a traffic accident. During his hospitalization for subdural hematoma and pulmonary contusion, he began to
suffer from heart failure. He was operated on under diagnosis of severe aortic regurgitaion. The commissure between the left
and the noncoronary cusps was largely detached from the aortic wall, which was easily estimated to be the cause of the prediagnosed
left cusp prolapse. His aortic valve was replaced, and his postoperative course was uneventful. 相似文献
11.
A patient with epithelioid angiosarcoma of the gallbladder is described. This is only the second case of an extremely rare but highly aggressive tumor reported in the international literature. Pathophysiological, clinical, and therapeutic aspects are discussed in relation to the available data on angiosarcomas of the gallbladder. 相似文献
12.
Thoracic aortic perforation in the context of a minor trauma is extremely rare. In this article, we describe a case of an 80-year-old man who presented with an aortic perforation after a fall from his height during his hospitalization. The patient had previously undergone a left superior lobectomy, a partial chest wall resection, and reconstruction for a locally invasive lung cancer. He was directly transferred to the operating room, as he presented with hemodynamic instability. A 4-mm laceration in the descending thoracic aorta was identified and repaired. The postoperative course was uneventful. This case illustrates the importance of applying a solid fixation to the rib stumps when performing a chest wall resection, irrespective of the size of the wall defect. 相似文献
13.
Bilateral simultaneous dislocation of the hip is an unusual occurrence, especially if there is no previous history of hip abnormality or ligamentous laxity. Most of the reports published until now most frequently describe this type of injury in adults. The majority of case reports present patients with ages ranging between 20 and 30 years old, because at this age the bone is strong enough not to suffer a fracture but a dislocation. The oldest patient with bilateral simultaneous dislocation of the hip described in literature (to our knowledge) is 65 years old. We present the case of a 79 year old man that was involved in an agricultural accident in which a heavy load fell on both his feet while he was laying on the ground. Anteroposterior pelvic radiograph reveal bilateral posterior hip dislocation with an associated left-side acetabular fracture and also a minimum displaced anterior left pelvic ring fracture. Both hips were reduced within three hours of presentation by closed manipulation under spinal anaesthesia. Literature search revealed no case presentation that reported a bilateral simultaneous dislocation of the hip in elderly--to our knowledge, this is the first. 相似文献
14.
Kotsis T Thomas K Tympa A Aliki T Kalinis A Aris K Vasilopoulos I Ioannis V Theodoraki K Kassiani T 《Annals of vascular surgery》2011,25(7):981-981.e5
Although the mortality rate after abdominal aortic aneurysm rupture approximates 90% despite the urgent management, a few cases of chronic rupture and delayed repair have been reported in the world literature; anatomic and hemodynamic reasons occasionally allow for the fortunate course of these patients. We report in this article the case of 76-year-old man with a ruptured abdominal aortic aneurysm who was transferred to our facility 4 weeks after his initial hospitalization in a district institution and who finally had a successful open repair. 相似文献
15.
Ikeda A Sato F Tokunaga C Enomoto Y Kanemoto S Matsushita S Hiramatsu Y Sakakibara Y 《Surgery today》2012,42(2):191-194
Traumatic thoracic aortic injury is a lethal condition. Because its mortality rate is extremely high in the acute phase, these
patients rarely survive long enough for a chronic aneurysm to develop. We herein report a case of surgical repair for a ruptured
chronic traumatic thoracic aneurysm. A 32-year-old man, who had been involved in a traffic accident 14 years earlier, was
diagnosed with a rupture of a chronic traumatic thoracic aneurysm. Preoperative computed tomography showed that the ruptured
aneurysm arose from the aortic isthmus and was accompanied by multiple daughter lesions. He underwent an aorta graft replacement
with reconstruction of the left subclavian artery using both a median sternotomy and a left thoracotomy. The surgery was successful
and the postoperative course was uneventful. Chronic traumatic thoracic aneurysm is usually a single lesion, and cases with
daughter aneurysms have rarely been reported. We include a review of the previous literature and also discuss the etiology
of this condition. 相似文献
16.
This report describes a case of port site metastases that presented 6 months after a laparoscopic abdominoperineal resection
of rectal cancer in a 75-year-old man. A surgical excision was performed to improve stoma function despite disease progression
with adjuvant concurrent chemoradiation. Although port site metastases are now reported less frequently, this unfortunate
consequence of laparoscopic colorectal surgery for cancer can still occur, and laparoscopic colorectal surgeons should exercise
all precautions to prevent its occurrence. This report includes a review of literature on port site metastases. 相似文献
17.
We report the case of a 28-year-old man who suffered a transection of the mid-transverse aortic arch between the innominate and left common carotid artery with complete avulsion of the left common carotid artery after blunt trauma. This patient underwent successful aortic arch replacement proximal to the left subclavian artery and reimplantation of the innominate and left carotid arteries using profound hypothermic circulatory arrest and selective antegrade cerebral perfusion. A literature review revealed no other previous reports of survival after this type of injury. 相似文献
18.
Osama S. Al Beteddini Daniel Brenez Christophe Firket Roberto Algaba Ahmad Tabech 《International journal of surgery case reports》2013,4(2):208-211
INTRODUCTIONAngiosarcomas are rare tumours that arise from the vascular endothelium. They can occur anywhere in the body, mostly affecting the head and neck. Their occurrence in the gastrointestinal tract is quite rare with a few reported cases in medical literature.PRESENTATION OF CASEA 40-year-old man presented with metastatic sigmoid colon angiosarcoma, for which he was operated due to endoscopically uncontrollable massive tumour bleeding. The patient is presently still alive at 24 months after his first presentation. He is receiving palliative care.DISCUSSIONThis article presents a review of the literature on this rare clinical entity, emphasising the very aggressive behaviour and the poor outcome of this malignancy. We present, briefly, 17 reported cases on primary colonic angiosarcoma since 1949.CONCLUSIONThe role of chemotherapy and radiation is established neither in the adjuvant setting nor in metastatic disease. Surgery is the mainstay to treat localised colorectal angiosarcomas. 相似文献
19.
Genovés-Gascó B Torres-Blanco Á Plaza-Martínez Á Olmos-Sánchez D Gómez-Palonés F Ortiz-Monzón E 《Annals of vascular surgery》2012,26(5):730.e1-730.e5
Primary aortoenteric fistula is a rare and extremely serious condition. In most cases, it is caused by an abdominal aortic aneurysm presenting with symptoms of gastrointestinal bleeding. Diagnosis is difficult owing to its rarity and the fact that diagnostic tests are not definitive in many cases. Surgery is performed urgently in most cases and is associated with high mortality. We report a case of a 65-year-old man presenting with symptoms of abdominal pain and massive rectal hemorrhage. Computed tomography revealed a pararenal abdominal aortic aneurysm and suspected aortoenteric fistula. The patient underwent an emergency surgery, confirming the suspected diagnosis. The surgery performed was the traditionally recommended extra-anatomical bypass with aortic ligation and repair of the intestinal defect. We describe the clinical condition and provide an up-to-date overview of diagnosis and treatment by reviewing the literature. We believe the therapeutic decision should be personalized by assessing the anatomy of the aneurysm, the patient's clinical status, the degree of local contamination, and the surgeon's experience with each of the techniques. 相似文献
20.
Interrupted aortic arch is a rare congenital heart disease, whereas right-sided interrupted aortic arch is an extremely rare disorder with few reported cases in the literature. We report our institutional experience with two such patients and review the recent literature. 相似文献