Millán-Cayetano José-Francisco, Yélamos Oriol, Rossi Anthony M, Marchetti Michael A, Jain Manu
Dermatology Department, Hospital Costa del Sol, Marbella, Spain.
Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, USA; Dermatology Department, Hospital Clinic, Universitat de Barcelona, Barcelona, Spain.
Dermatol Pract Concept. 2017 Jan 31;7(1):51-54. doi: 10.5826/dpc.0701a10. eCollection 2017 Jan.
Facial angiofibromas are benign tumors presenting as firm, dome-shaped, flesh-colored to pink papules, typically on the nose and adjoining central face. Clinically and dermoscopically they can mimic melanocytic nevi or basal cell carcinomas (BCC). Reflectance confocal microscopy (RCM) is a noninvasive imaging tool that is useful in diagnosing melanocytic and non-melanocytic facial lesions. To date no studies have described the RCM features of facial angiofibromas. Herein, we present two cases of facial angiofibromas that were imaged with RCM and revealed tumor island-like structures that mimicked BCC, leading to skin biopsy.
面部血管纤维瘤是一种良性肿瘤，表现为质地坚硬、圆顶状、肤色至粉红色的丘疹，通常出现在鼻子及相邻的面部中央区域。在临床和皮肤镜检查中，它们可能会与黑素细胞痣或基底细胞癌（BCC）相似。反射式共聚焦显微镜（RCM）是一种非侵入性成像工具，对诊断面部黑素细胞性和非黑素细胞性病变很有用。迄今为止，尚无研究描述面部血管纤维瘤的RCM特征。在此，我们展示两例面部血管纤维瘤的病例，这些病例通过RCM成像，显示出类似BCC的肿瘤岛状结构，从而导致了皮肤活检。
