Epivatianos Apostolos, Kolokotronis Alexandros, Matiakis Apostolos, Poulopoulos Athanasios
Department of Oral Medicine and Oral Pathology, Dental School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
J Investig Clin Dent. 2010 Aug;1(1):47-9. doi: 10.1111/j.2041-1626.2010.00003.x. Epub 2010 Jul 9.
We describe an unusual and rare case of a lipoma variant known as angiofibrolipoma. A literature search revealed only a few cases of angiofibrolipoma which were located in different anatomical sites; no case of angiofibrolipoma in the oral cavity has been previously reported. We present and discuss the histopatholological-immunohistological findings and features. Angiofibrolipoma histologically consists of mature adipocytes, blood vessels, and bundles of collagenous connective tissue with low to moderate cellularity. It is not encapsulated, but is histologically distinct from surrounding tissue. Positive immunohistological staining with CD-34 presented a large number of blood vessels of different sizes located between collagen fibers and adipocytes. The treatment of choice for a patient with angiofibrolipoma is surgical excision, which is expected to be curative.
我们描述了一种罕见的脂肪瘤变体,即血管纤维脂肪瘤的病例。文献检索显示,血管纤维脂肪瘤病例很少,且位于不同的解剖部位;此前尚无口腔血管纤维脂肪瘤的病例报道。我们展示并讨论了组织病理学-免疫组织化学的发现和特征。血管纤维脂肪瘤在组织学上由成熟的脂肪细胞、血管和低至中等细胞密度的胶原结缔组织束组成。它没有被包膜包裹,但在组织学上与周围组织不同。CD-34免疫组织化学染色阳性显示,在胶原纤维和脂肪细胞之间有大量不同大小的血管。血管纤维脂肪瘤患者的首选治疗方法是手术切除,有望治愈。