Department of Neurosurgery, Aalborg University Hospital, Hobrovej 18-22, 9100, Aalborg, Denmark.
Department of Neurosurgery, Aarhus University Hospital, Palle Juul-Jensens Blvd. 165, 8200, Aarhus N, Denmark.
Acta Neurochir (Wien). 2020 Dec;162(12):3001-3004. doi: 10.1007/s00701-020-04307-8. Epub 2020 Apr 2.
A lobular capillary hemangioma, previously known as a pyogenic granuloma, is a benign vascular lesion of the skin or mucous membrane. We report a case of capillary hemangioma of lobular subtype in the calvarium of a 28-year-old pregnant woman which presented as a sore and rapidly growing bulge over the left fronto-parietal region. Magnetic resonance imaging of the brain and skull showed an expansive tumor with brain displacement, skull erosion, and scalp infiltration. The tumor was surgically removed, and histopathological examination showed a capillary hemangioma of lobular subtype. To the best of our knowledge, this is the first report of a lobular capillary hemangioma in the calvarium, and it represents a rarity to be considered among the many other differential diagnoses for neurosurgical lesions involving the skull, especially in pregnant women.
小叶状毛细血管瘤,以前称为化脓性肉芽肿,是皮肤或黏膜的良性血管病变。我们报告了一例 28 岁孕妇颅骨小叶状毛细血管血管瘤,表现为左额顶区疼痛且迅速增大的隆起。颅脑和颅骨磁共振成像显示肿瘤有扩张,伴有脑移位、颅骨侵蚀和头皮浸润。肿瘤被手术切除,组织病理学检查显示小叶状毛细血管血管瘤。据我们所知,这是颅骨小叶状毛细血管血管瘤的首例报告,颅骨病变的神经外科鉴别诊断很多,这种疾病较为罕见,尤其是在孕妇中。