Wirth Garrett A, Sundine Michael J, Kong Allen P, Carpenter Philip M
Aesthetic and Plastic Surgery Institute, Department of Pathology, University of California-Irvine Medical Center, Orange, CA 92868-3298, USA.
Ear Nose Throat J. 2007 May;86(5):281-3.
A 29-year-old woman presented with an unusual lesion on the right auricular antihelix. The mass was purple and painful, and it had been present for 17 years. Preoperatively, the presumptive diagnosis was a venous malformation. The mass was resected, and a staged reconstruction was performed. Microscopic analysis of the specimen revealed that the lesion was an angioleiomyoma. Most cases of angioleiomyoma involve the extremities; few have been described in the head and neck region, and very few of those have been reported on the ear. Among those auricular angioleiomyomas that have been reported, most were distinctly painless. We report a new, atypical case of this unusual tumor.
一名29岁女性右耳对耳轮出现一处异常肿物。肿物呈紫色且有压痛，已存在17年。术前初步诊断为静脉畸形。肿物被切除，并进行了分期重建。对标本的显微镜分析显示该病变为血管平滑肌瘤。血管平滑肌瘤多数累及四肢；头颈部病例较少，耳部的报道则极少。在已报道的耳部血管平滑肌瘤中，多数无明显疼痛。我们报告了这一罕见肿瘤的一例新的非典型病例。
