首页|肝脏血管肉瘤的临床病理特征及诊断难点分析

肝脏血管肉瘤的临床病理特征及诊断难点分析

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目的 探讨肝脏血管肉瘤的临床病理特点,并分析其诊断难点.方法 回顾性分析北京医院病理科2013年至2022年诊断的6例肝脏血管肉瘤患者的病理及临床资料.结果 6例患者的临床表现及影像表现无特异性,镜下形态多样,高分化血管肉瘤可见肝板萎缩,肝窦内衬覆肿瘤细胞,低分化血管肉瘤细胞异型性较大,需要与其他肉瘤相鉴别,肿瘤细胞均表达血管内皮标记CD31,CD34及ERG等.结论 肝血管肉瘤是一种罕见的恶性肿瘤,临床表现及影像学检查无特异性,综合分析临床及形态学,并辅以免疫组化染色,有助于病理诊断.
The clinicopathological features and diagnostic difficulties of hepatic angiosarcoma
Objective To investigate the clinicopathological characteristics of hepatic angiosarcoma and analyze its diagnostic difficulties.Methods The pathological and clinical data of 6 patients diagnosed with hepatic angiosarcoma in the department of pathology of Beijing Hospital from 2013 to 2022 were retrospectively analyzed.Results The clinical manifestations and images of the 6 patients with hepatic angiosarcoma were non-specific.The morphologies were diverse.Atrophic liver cell plates and hepatic sinusoids lined with atypia cells were observed in high-grade angiosarcoma,while low-differentiated angiosarcoma was more atypical,and should be distinguished from other sarcomas.The tumor cells expressed vascular endothelial markers CD31,CD34 and ERG.Conclusion Hepatic angiosarcoma is a rare malignant tumor without specificity in clinical manifestations and image examinations.Comprehensive analyses of the clinical manifestations,morphology and immunohistochemical staining are helpful for a right pathological diagnosis.

angiosarcomaliverpathology

刘周英、杜俊、张劲松、刘东戈、杨重庆

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100730 北京医院病理科 国家老年医学中心 中国医学科学院老年医学研究院

血管肉瘤 肝脏 病理

国家自然科学基金

82050005

2024

肝脏
上海市医学会

肝脏

CSTPCD
影响因子:0.71
ISSN:1008-1704
年,卷(期):2024.29(2)
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