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手部血管内乳头状内皮增生影像学表现酷似血管外皮细胞瘤:1例报告并文献复习

An intravascular papillary endothelial hyperplasia of the hand radiologically mimicking a hemangiopericytoma: A case report and literature review.

作者信息

Pesce Vito, Bizzoca Davide, Notarnicola Angela, Piazzolla Andrea, Vicenti Giovanni, Cimmino Antonietta, Fortarezza Francesco, Maccagnano Giuseppe, Solarino Giuseppe, Moretti Biagio

机构信息

Orthopaedic, Trauma and Spine Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, University of Bari Aldo Moro and AOU Consorziale Policlinico, Bari, Italy.

Division of Pathology, Department of Emergency and Organ Transplants, School of Medicine, University of Bari Aldo Moro and AOU Consorziale Policlinico, Bari, Italy.

出版信息

SAGE Open Med Case Rep. 2018 Jan 10;6:2050313X17752851. doi: 10.1177/2050313X17752851. eCollection 2018.

Abstract

Intravascular papillary endothelial hyperplasia is a rare benign vascular lesion of the skin and subcutaneous tissues, characterized by a reactive proliferation of endothelial cells that can present de novo in normal blood vessels (primary intravascular papillary endothelial hyperplasia), but it can also develop from a pre-existing vascular process (type II intravascular papillary endothelial hyperplasia), or it can arise in an extravascular location from a post-traumatic haematoma. The differential diagnosis between intravascular papillary endothelial hyperplasia and malignant vascular tumours can be challenging, due to the lacking of a specific radiologic description. We present a case of intravascular papillary endothelial hyperplasia of the hand radiologically mimicking a hemangiopericytoma.

摘要

血管内乳头状内皮增生是一种罕见的皮肤和皮下组织良性血管病变,其特征为内皮细胞的反应性增生,可在正常血管中新生出现(原发性血管内乳头状内皮增生),但也可由先前存在的血管病变发展而来(II型血管内乳头状内皮增生),或者可在血管外部位由创伤后血肿形成。由于缺乏特异性的影像学描述,血管内乳头状内皮增生与恶性血管肿瘤之间的鉴别诊断可能具有挑战性。我们报告一例手部血管内乳头状内皮增生,其影像学表现酷似血管外皮细胞瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fe9/5768252/d3434015b3ba/10.1177_2050313X17752851-fig1.jpg

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