手部静脉化脓性肉芽肿
Intravenous pyogenic granuloma of the hand.
作者信息
Kocer Ugur, Aksoy Hasan Mete, Tiftikcioglu Yigit Ozer, Karaaslan Onder
机构信息
Plastic and Reconstructive Surgery Department, Ankara Training and Research Hospital, Mesrutiyet Cad. 17/12, 06640 Kizilay, Ankara, Turkey.
出版信息
Dermatol Surg. 2003 Sep;29(9):974-6. doi: 10.1046/j.1524-4725.2003.29263.x.
BACKGROUND
Intravenous pyogenic granuloma is the intravasal counterpart of cutaneous pyogenic granuloma. This rare, benign lesion appears clinically as a subcutaneous nodule usually located in the upper extremity or neck in middle-aged people. It is hard to make an exact diagnosis on clinical basis, and there is a risk of recurrence because of undertreatment.
OBJECTIVE
To report a case of an intravenous pyogenic granuloma located in the hand and to describe the clinical and histopathologic features of this rare vascular tumor.
METHODS
An operation was performed on a 58-year-old female who presented with a small, painless mass in the right palm, and the pathologic examination revealed an intravenous pyogenic granuloma.
CONCLUSION
This rare lesion should be differentiated from a regular pyogenic granuloma and should be excised with the vein segment to avoid recurrence.
背景
静脉内化脓性肉芽肿是皮肤化脓性肉芽肿的血管内对应物。这种罕见的良性病变在临床上表现为皮下结节，通常位于中年人的上肢或颈部。基于临床很难做出准确诊断，且由于治疗不充分存在复发风险。
目的
报告1例位于手部的静脉内化脓性肉芽肿病例，并描述这种罕见血管肿瘤的临床和组织病理学特征。
方法
对一名58岁女性进行手术，该患者右手掌有一个小的无痛肿块，病理检查显示为静脉内化脓性肉芽肿。
结论
这种罕见病变应与普通化脓性肉芽肿相鉴别，并且应连同静脉段一并切除以避免复发。
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