頭臉部惡性血管瘤－兩病例報告

Malignant Hemangiosarcoma-Two Cases Report

謝貫榮(Kuan Jung Hsieh) ； 歐聖運(Shuan Yuan Ou)

《中華民國重建整形外科醫學會雜誌》 1卷2期 (1992/09) Pp. 116-120

https://doi.org/10.7096/JPRSA.199209.0116

摘要

老年人頭臉部惡性血管瘤是一種少見但並不罕見的極惡性腫瘤，由於腫瘤容易復發和肺部轉移，加上它臨床表現多變性容易和其它皮膚疾患混淆而延誤診斷，使惡性血管瘤的治療倍加困難。我們曾經驗兩個病例，雖然都給予外科廣泛切除、皮瓣或植皮手術，一例並合併放射線治療，另一例則合併放射線及化學療法，但兩例都不幸相繼呈現局部轉移和肺部轉移，分別於發病後十個月和一年六個月死亡。本文特將這兩個病例的種種表現及治療和各國文獻作一檢討比較。

關鍵字

惡性血管肉瘤 ； 血管肉瘤

並列摘要

Cutaneous angiosarcoma is an infrequent but aggressive, malignant neoplasm involving the skin of the face and scalp. This disease predominantly occurs in the eldly. Due to the lack of clinical awareness and problems with histologic assessment, delays in diagnosis and treatment is frequent.
We had experenced two cases of cutaneous angiosarcoma in the face and scalp; both of them were treated with surgical wide excision and reconstruction with flap or skin graft. The treatment included radiotherapy and chemotherapy. Still the patients had local recurrance and lung metastasis and expired in 10 months and 18 months.
Clinical courses and treatment were reviewed again and compared with the literature.

並列關鍵字

Malignant Hemangiosarcoma ； Angiosarcoma