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原發於單一頸部淋巴結之卡波西氏肉瘤-病例報告

Primary Kaposi's sarcoma in a Single Cervical Lymph Node - Case Report

摘要


卡波西氏肉瘤為血管或淋巴管內皮細胞增生的腫瘤,其臨床表現多變,但是純粹以單一淋巴結侵犯來表現的卡波西氏肉瘤,在文獻上非常少見。本院於1998年7月間,經歷一50歲男性病例,主訴為右頸部腫塊達數月之久,影像檢查顯示一5x4x3cm的側咽腫瘤。經切除後,病理報告證實為淋巴結之卡波西氏肉瘤。隨後進一步檢查,並無發現其他皮膚或器官之病徵。

並列摘要


Kaposi’s sarcoma results from proliferation of endothelial cells of lymphatic or vascular tissues. Its clinical presentation is quite variable and is usually correlated with AIDS. A 50-year-old man presenting with a right neck mass for several months visited our hospital in July, 1998. The CT scan showed a parapharyngeal mass about 5x4x3cm. The neck mass was excised and the pathology revealed Kaposi’s sarcoma in the lymph node. After a series of examinations, no other manifestations or HIV infection was found. Primary Kaposi’s sarcoma of a lymph node was our impression. This patient was followed up at our out-patient section without recurrence. Solitary Kaposi’s sarcoma in a neck lymph node without other manifestations is quite unusual and reports of this presentation are also rare.

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