PDF(Pubmed)
Abstract：
Renal metastasis of breast angiosarcoma is rare. This article reports the medical records of a patient diagnosed with breast angiosarcoma who underwent radical mastectomy and was found to have multiple lung metastases 3 years after surgery and renal pelvic metastasis 4 years after surgery. The patient underwent robot-assisted laparoscopic radical nephroureterectomy and sleeve resection of the intramural segment of the ureter, and postoperative pathology and immunohistochemical staining confirmed the diagnosis of renal pelvic metastasis of breast angiosarcoma. The patient received anlotinib for lung metastases following surgery and was followed up for 4 months after surgery. Currently, the patient has symptoms of coughing and hemoptysis but no other discomfort. The diagnosis and treatment of this rare malignant tumor remain challenging.
摘要：
乳腺血管肉瘤的肾转移很少见。本文报道了1例诊断为乳腺血管肉瘤的患者的病历，该患者接受了根治性乳房切除术，发现术后3年有多发肺转移，术后4年有肾盂转移。该患者接受了机器人辅助腹腔镜根治性肾输尿管切除术和输尿管壁间段袖状切除术，术后病理及免疫组化染色证实诊断为乳腺血管肉瘤肾盂转移。患者术后接受安洛替尼治疗肺转移，术后随访4个月。目前,患者有咳嗽和咯血的症状，但没有其他不适。这种罕见的恶性肿瘤的诊断和治疗仍然具有挑战性。
