Trinh Nhat Q, Rashed Issra, Hutchens Kelli A, Go Aileen, Melian Edward, Tung Rebecca
Stritch School of Medicine, Loyola University Chicago, Maywood, IL 60153, USA.
Case Rep Dermatol Med. 2013;2013:906426. doi: 10.1155/2013/906426. Epub 2013 Oct 7.
An unusual case of cutaneous angiosarcoma clinically mimicking eczema is described. A 98-year-old Caucasian male presented with a 6-month history of a flesh-colored, subcutaneous nodule on his left forehead with contralateral facial erythema and scaling that had been previously diagnosed as eczema. Despite treatments with topical steroids and moisturizers, the condition did not resolve. At our clinic, excisional biopsy of the forehead lesion and scouting biopsies from the contralateral cheek were performed which revealed cutaneous angiosarcoma. The described case illustrates that dermatitis-like features should be considered as a rare clinical manifestation of cutaneous angiosarcoma. It also demonstrates that these lesions may respond well to radiotherapy as a single modality.
本文描述了一例临床上疑似湿疹的皮肤血管肉瘤罕见病例。一名98岁的白种男性，左侧前额出现一个肉色皮下结节，伴对侧面部红斑和脱屑，病程6个月，此前被诊断为湿疹。尽管使用了外用类固醇和保湿剂进行治疗，病情仍未缓解。在我们诊所，对前额病变进行了切除活检，并对侧脸颊进行了探查活检，结果显示为皮肤血管肉瘤。该病例表明，皮炎样特征应被视为皮肤血管肉瘤的一种罕见临床表现。它还表明，这些病变作为单一治疗方式对放疗可能反应良好。
