实用肿瘤学杂志 ›› 2015, Vol. 29 ›› Issue (5): 450-453.doi: 10.11904/j.issn.1002-3070.2015.05.014

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小肠系膜Kaposi型血管内皮瘤致消化道出血一例及文献回顾

徐俊, 罗天航, 薛绪潮   

  1. 第二军医大学附属长海医院,第二军医大学普外一科(上海 200433)
  • 收稿日期:2015-04-20 出版日期:2015-10-28 发布日期:2015-10-30
  • 通讯作者: 薛绪潮,E-mail:xuexch@163.com
  • 作者简介:徐俊,男,(1988-),硕士研究生,从事胃肠肿瘤方面的研究

A case report:Alimentary track hemorrhage caused by mesentery Kaposiform hemangioendothelioma and literature review

XU Jun, LUO Tianhang, XUE Xuchao   

  1. Department of General Surgery,Changhai Hospital,The Second Military Medical Universiry,Shanghai 200433,China
  • Received:2015-04-20 Online:2015-10-28 Published:2015-10-30

摘要: Kaposi型血管内皮瘤是一种定义为中间型的血管肿瘤。本文对1例发生于小肠系膜Kaposi型血管内皮瘤患者的组织病理学、免疫表型及临床资料进行回顾性分析并文献复习。该例患者以消化道出血为主要症状,影像学示肠系膜巨大软组织肿块并侵犯回肠,临床未见卡梅诺现象(Kasabach-merritt phenomenon,KMP),光镜下可见海绵状脉管样结构,部分区域间质伴淋巴细胞聚集灶,其间散在较多由短梭形细胞瘤构成的结节,结节内瘤细胞呈纵横交错排列并形成条索或裂隙样血管。免疫组化:CD31(+),CD34(+),D2-40(+),C-Kit(-),SMA(-),Ki-67(1%)。

关键词: 肠系膜, Kaposi型血管内皮瘤, 卡梅诺现象

Abstract: Kaposiform hemangioendothelioma(KHE)is a vascular tumor characterized by intermediate malignancy.Retrospective analysis and literature review on the clinical pathologic,immunohistochemical and clinical data of a patient with mesentery KHE.The cardinal symptom of this patient is alimentary track hemorrhage,imageological diagnosed as a huge soft tissue mass of mesentery and invaded ileum.Clinical feature is without Kasabach-Merritt phenomenon,observing under the light microscope.The tumor is with cavernous vascular structure,and lymphocyte infiltration inside of stroma.The nodules are composed of disposed and lots of short spindle cell tumor;the tumor cells inside of the nodules are vertical and horizontal staggered and form tendon like or fissuring vessels.Immunohistochemistry:CD31(+),CD34(+),D2-40(+),C-Kit(-),SMA(-),Ki-67(1%).

Key words: Mesentery, Kaposiform hemangioendothelioma, Kasabach-merritt phenomenon(KMP)

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