诊断陷:软组织肉瘤最初被误诊为良性血管异常-一个病例报告和系统审查
Malgorzata Styczewska1, Weronika Lyzinska2, Stanislaw Maria Wardecki3
1Department of Pediatrics, Hematology and Oncology, Medical University of Gdansk, Gdansk, Poland.
Oncology reviews
|December 29, 2025
概括
软组织肉瘤 (STS) 经常被误诊为血管异常 (VA),导致治疗延迟. 早期识别和专家转诊对于准确的诊断和改善儿科和成人患者的治疗结果至关重要.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
背景情况:
- 血管异常 (VA) 通常通过临床评估和成像来诊断.
- 软组织肉瘤 (STSs) 可以模仿VA,导致错误诊断,延迟治疗和不良结果.
研究的目的:
- 系统地审查STS患者最初被误诊为良性VAS.
- 突出诊断陷,并改善模仿VA的STS的识别.
主要方法:
- 按照PRISMA 2020指南进行系统审查.
- 包括经组织学确认的STS被误诊为VA的患者.
- 在五个数据库中进行文献搜索,并补充了作者机构的案例.
主要成果:
- 确定了96名最初被误诊为VA的STS患者.
- 诊断延迟的中位数为5.5个月,61.5%的患者接受了不适当的VA治疗.
- 常常被误诊的STS亚型包括婴儿纤维肉瘤,膜软部肉瘤和狂宫肌肉瘤.
结论:
- 某些STS亚型可以模仿VA,需要提高临床意识.
- 诊断延迟的原因是过时的术语和临床医生的意识有限.
- 专家评估,明确的诊断支持和对活检的考虑对于准确诊断至关重要.
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