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表现为面部肿块的皮下小叶状毛细血管瘤

Subcutaneous Lobular Capillary Hemangioma Presenting as a Facial Mass.

作者信息

Saadeh Charles, Ulualp Seckin O, Rakheja Dinesh

机构信息

Department of Otolaryngology, Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Division of Pediatric Otolaryngology, Children's Health, Dallas, TX, USA.

出版信息

Case Rep Otolaryngol. 2018 May 8;2018:5973619. doi: 10.1155/2018/5973619. eCollection 2018.

Abstract

Lobular capillary hemangioma is a benign lesion of the skin and mucous membranes. Subcutaneous lobular capillary hemangioma presents as a deeper nodule. Lack of the characteristic surface changes of this subtype of lobular capillary hemangioma makes the clinical diagnosis challenging. We describe clinical, radiologic, and histological features of a subcutaneous lobular capillary hemangioma tissue presenting as a facial mass in a 12-year-old male. The mass was a firm, nontender, immobile, subcutaneous nodule, with no color change of the overlying skin. CT imaging documented a hyperdense and nonlipomatous mass involving soft tissue of the left lateral nasal wall. An excisional biopsy was performed. Histologic evaluation showed subcutaneous lobular capillary hemangioma. Subcutaneous lobular capillary hemangioma, although uncommon, should be considered in the differential diagnosis of lateral nasal wall mass in children.

摘要

小叶状毛细血管瘤是皮肤和黏膜的一种良性病变。皮下小叶状毛细血管瘤表现为较深的结节。该亚型小叶状毛细血管瘤缺乏特征性的表面改变,这使得临床诊断具有挑战性。我们描述了一名12岁男性面部肿物的皮下小叶状毛细血管瘤组织的临床、放射学和组织学特征。肿物为一个质地硬、无压痛、固定的皮下结节,其上方皮肤无颜色改变。CT成像显示左侧鼻外侧壁软组织有一个高密度且非脂肪瘤性肿物。进行了切除活检。组织学评估显示为皮下小叶状毛细血管瘤。皮下小叶状毛细血管瘤虽然不常见,但在儿童鼻外侧壁肿物的鉴别诊断中应予以考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d43/5964439/c285b3a7df30/CRIOT2018-5973619.001.jpg

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