Kang Ji-Hee, Kim Dong-Ik, Chung Byung-Hoon, Heo Seon-Hee, Park Yang-Jin
Division of Vascular Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Division of Vascular Surgery, Department of Surgery, Heart, Stroke and Vascular Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Ann Vasc Dis. 2018 Dec 25;11(4):553-556. doi: 10.3400/avd.cr.18-00065.
Intravascular fasciitis is a rare variant of nodular fasciitis, which can be easily misdiagnosed as a tumorous condition. We had a patient with an intravenous mass of a neck vein, and surgical excision was successful. Although all preoperative imaging studies and intraoperative pathologic reports suggested certain tumorous conditions as differential diagnosis results, the final diagnosis confirmed that it was an intravascular fasciitis based on its fibromixoid tissues with the proliferation of spindle cells and positive immunohistochemical staining for smooth muscle actin. Unless a physician has an insight of the disease or a suspicion to initiate running differential markers, it may be confused with other intravascular lesions and cause unnecessary radical surgery. Here we report our experience with a patient having this rare vascular disease.
血管内筋膜炎是结节性筋膜炎的一种罕见变体，很容易被误诊为肿瘤性疾病。我们有一位患者颈部静脉出现静脉内肿块，手术切除成功。尽管所有术前影像学检查和术中病理报告都提示某些肿瘤性疾病作为鉴别诊断结果，但最终诊断基于其纤维黏液样组织、梭形细胞增殖以及平滑肌肌动蛋白免疫组化染色阳性而确诊为血管内筋膜炎。除非医生对该疾病有深入了解或有启动鉴别标志物检测的怀疑，否则可能会与其他血管内病变混淆并导致不必要的根治性手术。在此我们报告我们对一位患有这种罕见血管疾病患者的诊治经验。
