[Uncommon tumor-associated deep vein thrombosis].

4区 医学 Q3 Medicine Internist Pub Date : 2022-05-01 Epub Date: 2022-02-23 DOI:10.1007/s00108-022-01272-5
Rosemary Poulose, Anselm A Derda, Mohamed Omar, Christian von Falck, Florian Länger, Jochen Tillmanns, Adrian Groh, Johann Bauersachs, L Christian Napp
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引用次数: 1

Abstract

Here, we report on a patient with deep vein thrombosis of the right leg, in whom diagnostic work-up revealed a previously unknown chondrosarcoma of the tibia. Physical examination revealed a firm, nondisplaceable mass on the dorsal side of the right knee that appeared as a cystic formation on ultrasound. X‑ray, computed tomography, and magnetic resonance imaging were consistent with chondrosarcoma, which had likely provoked the thrombosis by local compression or paraneoplastic mechanisms. After resection of the tumor, anticoagulation was continued. In a review of all findings, a final diagnosis of highly differentiated chondrosarcoma with thrombosis of the popliteal vein was made.

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[罕见的肿瘤相关深静脉血栓]。
在这里,我们报告了一个患有右腿深静脉血栓的病人,在他的诊断检查中发现了一个以前未知的胫骨软骨肉瘤。体格检查显示右膝背侧有一坚硬、不可移位的肿块,超声显示为囊性形成。X线、计算机断层扫描和磁共振成像与软骨肉瘤一致,可能是由局部压迫或副肿瘤机制引起的血栓形成。肿瘤切除后继续抗凝治疗。在回顾所有发现后,最终诊断为高度分化软骨肉瘤伴腘静脉血栓形成。
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来源期刊
Internist
Internist 医学-医学:内科
CiteScore
1.20
自引率
0.00%
发文量
139
审稿时长
4-8 weeks
期刊介绍: Der Internist is an internationally respected journal dealing with all aspects of internal medicine. The journal serves both the scientific exchange and the continuing education of internists working in practical or clinical environments as well as of general practitioners who are particularly interested in internal medicine. The focus is on the topics of prevention, diagnostic approaches, management of complications, and current therapy strategies. Comprehensive reviews on a specific topical issue focus on providing evidenced based information on diagnostics and therapy. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric "Continuing Medical Education" present verified results of scientific research and their integration into daily practice.
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