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外阴化脓性肉芽肿(小叶状毛细血管瘤)。

Vulvar Pyogenic Granuloma (Lobular Capillary Hemangioma).

作者信息

Mondal Prabhat C, Chakraborty Barunoday, Mandal Debdulal, Char Debasish, Sahana Ramkrishna, Murmu Shib Sankar

出版信息

J Reprod Med. 2017 Jan-Feb;62(1-2):92-4.

PMID:29999300
Abstract

BACKGROUND

Pyogenic granuloma (PG) is a common vascular lesion of the skin and subcutaneous tissue and is usually found on the face, trunk, and limbs. It is well known by general surgeons. CASE: A 42-year-old woman attended our clinic due to a rapidly growing, glistening, ulcerative, pedunculated vulvar mass. The mass was excised and subsequent histopathology revealed it as PG, which was completely unexpected. We reviewed the previous reported cases to investigate its clinical behavior, incidence, and management. CONCLUSION: PG of the vulva is a common clinical misdiagnosis. It is the third most common vulvar vascular lesion, but all the reported cases were diagnosed after histopathological examination. Gynecologists should include PG among the differential diagnoses of vulvar polypoid mass.

摘要

背景

化脓性肉芽肿(PG)是皮肤和皮下组织常见的血管性病变,通常见于面部、躯干和四肢。普通外科医生对其较为熟知。

病例

一名42岁女性因迅速增大、表面光亮、溃疡性、带蒂的外阴肿物前来我院就诊。肿物切除后,后续组织病理学检查显示为PG,这完全出乎意料。我们回顾了既往报道的病例,以研究其临床行为、发病率及治疗方法。

结论

外阴PG是一种常见的临床误诊。它是第三常见的外阴血管性病变,但所有报道的病例均经组织病理学检查后确诊。妇科医生应将PG纳入外阴息肉样肿物的鉴别诊断之中。

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