Department of Vascular Surgery, Henri Mondor Hospital, Assistance Publique-Hôpitaux de Paris, Créteil, France.
J Vasc Surg. 2011 Jun;53(6):1723-5. doi: 10.1016/j.jvs.2011.01.059.
A 50-year-old male patient was admitted for a symptomatic aneurysm of the external jugular vein. Thrombosis of the aneurysm was treated by oral anticoagulant but recurrence of neck swelling and thrombosis occurred 1 year after oral anticoagulant was discontinued. No other vascular anomalies were detected, and blood tests were normal. Surgical resection was done "en bloc" with the muscular fibers in contact. Pathologic examination was compatible with a Masson's vegetant intravascular hemangioendothelioma. To our knowledge, this is the first case of symptomatic Masson's vegetant intravascular hemangioendothelioma diagnosed in a patient with thrombosed aneurysm of a cervical vein.
一位 50 岁男性患者因外颈静脉有症状性动脉瘤而入院。通过口服抗凝剂治疗了动脉瘤的血栓形成，但在停用口服抗凝剂 1 年后，颈部肿胀和血栓再次发生。未发现其他血管异常，血液检查正常。通过“整块”切除与肌肉纤维接触的方式进行了手术切除。病理检查与 Masson 的植物性血管内血管内皮细胞瘤相符。据我们所知，这是首例在颈静脉血栓形成性动脉瘤患者中诊断出有症状性 Masson 的植物性血管内血管内皮细胞瘤的病例。
