PDF(Pubmed)
Abstract：
UNASSIGNED: Arteriovenous malformation (AVM) is a rare condition affecting less than 5/10,000 people, with high misdiagnosis due to its heterogeneity, inconsistent nomenclature, and diverse diagnostic criteria. Understanding its prevalence in this age group is crucial for effective treatment. Here we present a case report of a patient with AVM. IRB approval and patient consent were obtained. This study was done based on SCARE criteria.
METHODS: A 53-year-old female patient was diagnosed with a right hip vascular mass suggestive of AVM. The patient reported painless swelling on the right hip for five years, initially increasing in size but significantly increasing in the last six months. The patient had no history of trauma, neurological or pelvic symptoms, or constitutional symptoms. An examination of the lower limbs revealed a firm, non-tender mass measuring approximately 15 × 15 cm. A thigh MRI revealed a sizable, well-rounded, lobulated soft tissue mass with a stromal structure and pronounced vascularity, indicative of a soft tissue tumor.
UNASSIGNED: AVMs misdiagnosis is a significant issue, with 40 % of soft tissue sarcomas still misdiagnosed delaying care and leading to unnecessary measures. A 2015 study found 42.5 % of AMV patients were misdiagnosed, and 71 % were misdiagnosed as hemangiomas. Management involves multidisciplinary approaches, including radiology, sclerotherapy, surgical resection, and chemo/radiotherapy. Sirolimus may improve AVM prognosis.
CONCLUSIONS: Misdiagnosis of AVMs is a significant issue, with 40 % of soft tissue sarcomas still misdiagnosed. Management involves multidisciplinary approaches, including interventional radiology, sclerotherapy, surgical resection, and chemo/radiotherapy.
METHODS: A 53-year-old female patient was diagnosed with a right hip vascular mass suggestive of AVM. The patient reported painless swelling on the right hip for five years, initially increasing in size but significantly increasing in the last six months. The patient had no history of trauma, neurological or pelvic symptoms, or constitutional symptoms. An examination of the lower limbs revealed a firm, non-tender mass measuring approximately 15 × 15 cm. A thigh MRI revealed a sizable, well-rounded, lobulated soft tissue mass with a stromal structure and pronounced vascularity, indicative of a soft tissue tumor.
UNASSIGNED: AVMs misdiagnosis is a significant issue, with 40 % of soft tissue sarcomas still misdiagnosed delaying care and leading to unnecessary measures. A 2015 study found 42.5 % of AMV patients were misdiagnosed, and 71 % were misdiagnosed as hemangiomas. Management involves multidisciplinary approaches, including radiology, sclerotherapy, surgical resection, and chemo/radiotherapy. Sirolimus may improve AVM prognosis.
CONCLUSIONS: Misdiagnosis of AVMs is a significant issue, with 40 % of soft tissue sarcomas still misdiagnosed. Management involves multidisciplinary approaches, including interventional radiology, sclerotherapy, surgical resection, and chemo/radiotherapy.
摘要：
■动静脉畸形（AVM）是一种罕见的疾病，影响不到5/10,000人，由于其异质性而导致高度误诊，术语不一致，和不同的诊断标准。了解其在该年龄组的患病率对于有效治疗至关重要。在这里，我们介绍了一例AVM患者的病例报告。获得IRB批准和患者同意。这项研究是根据SCARE标准进行的。
方法：一名53岁女性患者被诊断为右髋部血管肿块，提示AVM。患者报告右髋部无痛肿胀5年,最初的规模增加，但在过去六个月显著增加。病人没有外伤史,神经或盆腔症状，或体质症状。下肢检查显示，非压痛质量约15×15厘米。大腿核磁共振显示相当大，四舍五入,具有间质结构和明显血管分布的分叶状软组织块，指示软组织肿瘤。
■AVM误诊是一个重要问题，40％的软组织肉瘤仍被误诊为延迟护理并导致不必要的措施。2015年的一项研究发现，42.5%的AMV患者被误诊，71%误诊为血管瘤。管理涉及多学科方法，包括放射学,硬化疗法,手术切除,和化疗/放疗。西罗莫司可改善AVM预后。
结论：AVM的误诊是一个重要问题，40%的软组织肉瘤仍被误诊。管理涉及多学科方法，包括介入放射学，硬化疗法,手术切除,和化疗/放疗。
方法：一名53岁女性患者被诊断为右髋部血管肿块，提示AVM。患者报告右髋部无痛肿胀5年,最初的规模增加，但在过去六个月显著增加。病人没有外伤史,神经或盆腔症状，或体质症状。下肢检查显示，非压痛质量约15×15厘米。大腿核磁共振显示相当大，四舍五入,具有间质结构和明显血管分布的分叶状软组织块，指示软组织肿瘤。
■AVM误诊是一个重要问题，40％的软组织肉瘤仍被误诊为延迟护理并导致不必要的措施。2015年的一项研究发现，42.5%的AMV患者被误诊，71%误诊为血管瘤。管理涉及多学科方法，包括放射学,硬化疗法,手术切除,和化疗/放疗。西罗莫司可改善AVM预后。
结论：AVM的误诊是一个重要问题，40%的软组织肉瘤仍被误诊。管理涉及多学科方法，包括介入放射学，硬化疗法,手术切除,和化疗/放疗。
