血管肉腫
WordNet
- a rare malignant neoplasm arising from vascular tissue; usually occurs in the breast and skin and is believed to originate from the endothelial cells of blood vessels
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2016/11/01 21:44:34」(JST)
[Wiki en表示]
Angiosarcoma |
Micrograph of an angiosarcoma. H&E stain.
|
Classification and external resources |
ICD-O |
M9120/3 |
eMedicine |
med/138 |
MeSH |
D006394 |
[edit on Wikidata]
|
Angiosarcoma is a cancer of the cells that line the walls of blood vessels or lymphatic vessels. The lining of the vessel walls is called the endothelium. Cancers from the walls of blood vessels are called hemangiosarcomas and cancers from the walls of lymphatic vessels are called lymphangiosarcomas.
Because the cancers are carried by the blood flow or lymphatic flow, they can more easily metastisize to distant sites, particularly the liver and lungs. Most tumors of visceral blood and lymphatic vessel walls are cancerous (malignant). Hemangiosarcomas and lymphangiosarcomas of the skin are not common.[citation needed] Kaposi's sarcoma is a different type of cancer that also involves endothelial-type cells. Angiosarcomas will show signs of hemorrhage and necrosis. Pathologically, tumor cells will show increased nuclear to cytoplasm ratio, nuclear hyperchromasia, nuclear pleomorphism and high mitotic activity will be observed.[1]
Angiosarcoma of the liver, a rare fatal tumor, has been seen in workers intensively exposed to the gas vinyl chloride monomer (VCM) for prolonged periods while working in polyvinyl chloride (PVC) polymerization plants. It has also been associated with individuals exposed to arsenic-containing insecticides and Thorotrast. In dogs, hemangiosarcoma is relatively common, especially in larger breeds such as golden retrievers and Labrador retrievers.
See also
See also: Category:Deaths from angiosarcoma
- Glomangiosarcoma
- List of cutaneous conditions
- Stewart–Treves syndrome
References
- ^ Perkins, [edited by] Vinay Kumar, Abul K. Abbas, Jon C. Aster ; artist, James A. (2013). Robbins basic pathology (9th ed.). Philadelphia, PA: Elsevier/Saunders. ISBN 9781437717815.
External links
- Angiosarcoma by James Lewis, MD and Vernon Sondak, MD, FACS
- Angiosarcoma Awareness; current angiosarcoma research
Vascular tissue neoplasm (ICD-O 9120–9179) (C49+C46/D18, 171+176/215)
|
|
Blood |
- Hemangiosarcoma
- Blue rubber bleb nevus syndrome
- Hemangioendothelioma
- Composite
- Endovascular papillary
- Epithelioid
- Kaposiform
- Infantile
- Retiform)
- Spindle cell
- Proliferating angioendotheliomatosis
- Hemangiopericytoma
- Venous lake
- Kaposi's sarcoma
- African cutaneous
- African lymphadenopathic
- AIDS-associated
- Classic
- Immunosuppression-associated
- Hemangioblastoma
- Hemangioma
- Capillary
- Cavernous
- Glomeruloid
- Microvenular
- Targeted hemosiderotic
- Angioma
- Cherry
- Seriginosum
- Spider
- Tufted
- Universal angiomatosis
- Angiokeratoma
- Pyogenic granuloma
|
|
Lymphatic |
- Lymphangioma/lymphangiosarcoma
- Lymphangioma circumscriptum
- Acquired progressive lymphangioma
- PEComa
- Cystic hygroma
- Multifocal lymphangioendotheliomatosis
- Lymphangiomatosis
|
|
Either |
- Angioma/angiosarcoma
- Angiofibroma
|
UpToDate Contents
全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.
English Journal
- Vinyl chloride exposure and cirrhosis: A systematic review and meta-analysis.
- Frullanti E, La Vecchia C, Boffetta P, Zocchetti C.SourceDepartment of Predictive and Preventive Medicine, Fondazione IRCCS, Istituto Nazionale Tumori, Milan, Italy.
- Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver.Dig Liver Dis.2012 Sep;44(9):775-9. Epub 2012 Mar 21.
- BACKGROUND: It has been proposed that vinyl chloride exposure is associated with increased risk of death from cirrhosis, although epidemiologic evidence is limited.METHODS: We analyzed the risk of death from cirrhosis by occupational vinyl chloride exposure by conducting a meta-analysis on seven ava
- PMID 22440240
- Hepatic angiosarcoma mimicking sinusoidal obstruction syndrome/venoocclusive disease: a pathologic-radiologic correlation.
- Wiland HO 4th, Pai RK, Purysko AS.SourceDepartment of Anatomic Pathology, Cleveland Clinic Foundation, L25 Cleveland, OH 44195, USA.
- Annals of diagnostic pathology.Ann Diagn Pathol.2012 Aug;16(4):275-9. Epub 2012 Feb 2.
- We present a case of a 63-year-old man with liver dysfunction and biopsy findings of venoocclusive disease (VOD) who, at autopsy, was discovered to have multifocal hepatic angiosarcoma. After double lung transplantation, he initially presented with signs of liver failure and portal hypertension resu
- PMID 22304789
Japanese Journal
- 症例 前胸部に皮下結節として単発した血管肉腫の1例
- 臨床経験 胸腔鏡下生検後に摘出術を行った心臓血管肉腫
Related Links
- An angiosarcoma (AS) is an uncommon malignant neoplasm characterized by rapidly proliferating, extensively infiltrating anaplastic cells derived from blood vessels and lining irregular blood-filled spaces. Specialists apply ...
- Angiosarcoma information including symptoms, diagnosis, misdiagnosis, treatment, causes, patient stories, videos, forums, prevention, and prognosis. ... Angiosarcoma: Introduction Angiosarcoma: Angiosarcomas are a relatively ...
Related Pictures
★リンクテーブル★
[★]
- 英
- angiosarcoma, hemangiosarcoma
- 同
- 悪性血管内皮腫 malignant hemangioendothelioma、悪性脈管内皮細胞腫 malignant angioendothelioma
- 関
- 血管形成肉腫。悪性血管外皮腫 malignant hemangiopericytoma。軟部腫瘍。Stewart-Treves症候群
- 肉腫に分類される。
- 悪性血管内皮腫と悪性血管外皮腫を指す場合があるが、多くは前者
- 血管あるいはリンパ管の内皮細胞の増殖による悪性腫瘍。
- 好発部位は皮膚(頭頚部、下肢、体幹など)、軟部組織、乳房、内臓(肝、脾など→肝血管肉腫)、骨である。
- 高齢者に好発する。性差は無いと言われている(BPT.397)
- 軟部腫瘍の1-2%のまれな腫瘍
- 外観上は不明瞭は暗赤紫色の紅斑と血疱をなし、易出血性隆起性の局面も認める。
- 組織学的には、分化型では異型内皮細胞が単層、または多層の配列を示して増殖し、不規則に吻合する小血管腔を形成する(血管腫にたような病理像を取るものをhemangiosarcomaという)が、未分化型では明らかな血管内腔を認めず、未熟な異型内皮細胞の均一性、充実性の増殖をみる(癌腫や悪性黒色腫との判別が困難)。
- 診断は病歴、視診から診断できるが、確定診断には生検を要する。
- 治療は局所切除であるが、放射線や化学療法も組み合わせられる。
- 血行転移しやすい。肝臓やリンパ節などのほか肺にも転移しやすく、血気胸を呈し予後はきわめて不良。
- 局所再発率が高く、転移率も高いので予後は不良である。
- 初診時から死亡までの平均生存期間は約1年で、5年生存率は数%である。
鑑別
病理
国試
[★]
- ラ
- sarcoma angioplasticum
- 同
- 管形成肉腫、血管肉腫 angiosarcoma
[★]
リンパ管肉腫