Ho Kelvin Kam Fai, Kwon Laura, Wong David, Hagley Daniel
Department of Vascular Surgery, Mater Adult Hospital, South Brisbane, Queensland, Australia.
Mater Pathology, Mater Adult Hospital, South Brisbane, Queensland, Australia.
J Vasc Surg Cases Innov Tech. 2019 Nov 26;5(4):583-585. doi: 10.1016/j.jvscit.2019.10.007. eCollection 2019 Dec.
Eccrine spiradenoma is a benign adnexal tumor of the sweat gland. Giant vascular eccrine spiradenoma is a rare variant of eccrine spiradenoma, characterized by its large size and florid vascularity. Its rarity and clinical appearance give rise to typical misdiagnosis as angiomatous lesions. We present a case of a giant vascular eccrine spiradenoma that was initially diagnosed as a thrombosed varix on the basis of clinical presentation and ultrasound features. This case reintroduces this rare condition and also highlights the differential diagnoses of lower limb skin nodules that may masquerade as a thrombosed varix.
小汗腺螺旋腺瘤是一种汗腺的良性附属器肿瘤。巨大血管性小汗腺螺旋腺瘤是小汗腺螺旋腺瘤的一种罕见变异型，其特征为体积大且血管丰富。其罕见性及临床表现常导致被误诊为血管瘤样病变。我们报告一例巨大血管性小汗腺螺旋腺瘤病例，该病例最初根据临床表现及超声特征被诊断为血栓性静脉曲张。该病例再次介绍了这种罕见疾病，同时也强调了可能伪装成血栓性静脉曲张的下肢皮肤结节的鉴别诊断。
