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头颈部血管脂肪瘤:影像学表现、诊断与治疗。

Angiolipoma in the Head and Neck: Imaging, Diagnosis and Management.

机构信息

Department of Oral and Maxillofacial Surgery, Rabin Medical Center-Beilinson Hospital, Petach Tikva 49100, Israel.

Department of Oral and Maxillofacial Surgery, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv 39040, Israel.

出版信息

Medicina (Kaunas). 2020 Jun 10;56(6):283. doi: 10.3390/medicina56060283.

Abstract

Angiolipoma, distinguishable from other lipomas by its excessive degree of vascular vessels, are rare in the head and neck and require unique management. A slow growing mass, located underneath the inferior border of the right mandibular angle of a 51-year-old female, was excised under general anesthesia. Unexpected excessive bleeding during the excision was observed and the histological specimen was diagnosed as angiolipoma. As shown in this case report, pre-operative imaging modalities have a crucial influence and are sufficient to diagnose and manage angiolipomas. The "Gold standard" treatment is excision with clear margins and bleeding management should be taken into account according to appropriate differential diagnosis.

摘要

血管脂肪瘤与其他脂肪瘤的区别在于其血管程度过高,在头颈部较为罕见,需要特殊的处理。一位 51 岁的女性患者在其右侧下颌角下缘下方有一个缓慢生长的肿块,在全身麻醉下进行了切除。在切除过程中观察到意外的大量出血,组织学标本诊断为血管脂肪瘤。正如本病例报告所示,术前影像学检查具有至关重要的影响,足以诊断和处理血管脂肪瘤。“金标准”治疗是进行彻底切除,应根据适当的鉴别诊断考虑出血管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbd0/7353847/ee20f6b8cadf/medicina-56-00283-g001.jpg

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