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阴蒂血管瘤——阴蒂肥大最罕见的病因。

Clitoral Hemangioma - Rarest Cause of Clitoromegaly.

作者信息

Thakur Ashoka Nand

机构信息

Department of Paediatric Surgery, Patna Medical College and Hospital, Patna, Bihar, India.

出版信息

J Indian Assoc Pediatr Surg. 2022 Nov-Dec;27(6):751-752. doi: 10.4103/jiaps.jiaps_5_22. Epub 2022 Nov 14.

DOI:10.4103/jiaps.jiaps_5_22
PMID:36714490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9878520/
Abstract

Clitoromegaly in female child is a rare condition. This is often associated with androgen excess in disorders of sexual differentiation usually congenital adrenal hyperplasia. Nonhormonal causes of clitoromegaly are rare and are commonly due to neurofibromatosis, epidermoid cyst, rhabdomyosarcoma, and very rarely hemangioma. Hemangioma is one of the common benign neoplasms of infancy, usually located in head, trunk, and extremities. We are reporting 4-month-old child with clitoromegaly with normal hormonal assay. Clitoromegaly was due to hemangioma. Histopathology of mass confirmed the diagnosis. Only five cases have been reported in literature till date.

摘要

女童阴蒂肥大是一种罕见病症。这通常与性分化障碍中雄激素过多有关，常见于先天性肾上腺增生症。阴蒂肥大的非激素原因较为罕见，通常是由于神经纤维瘤病、表皮样囊肿、横纹肌肉瘤，极罕见的情况下是血管瘤。血管瘤是婴儿期常见的良性肿瘤之一，通常位于头部、躯干和四肢。我们报告了一名4个月大患有阴蒂肥大但激素检测正常的女童。阴蒂肥大是由血管瘤引起的。肿块的组织病理学检查确诊了该诊断。迄今为止，文献中仅报道过5例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1df9/9878520/09c6a46d63ed/JIAPS-27-751-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1df9/9878520/f6ea63b85599/JIAPS-27-751-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1df9/9878520/96263fe85149/JIAPS-27-751-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1df9/9878520/09c6a46d63ed/JIAPS-27-751-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1df9/9878520/f6ea63b85599/JIAPS-27-751-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1df9/9878520/96263fe85149/JIAPS-27-751-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1df9/9878520/09c6a46d63ed/JIAPS-27-751-g003.jpg

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引用本文的文献

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本文引用的文献

1
Hemangioma of the clitoris presenting as clitoromegaly: a case report.表现为阴蒂肥大的阴蒂血管瘤：一例报告
J Pediatr Adolesc Gynecol. 2009 Oct;22(5):e137-8. doi: 10.1016/j.jpag.2008.11.002. Epub 2009 Jul 3.
2
Intralesional corticosteroid therapy for infantile hemangiomas.婴儿血管瘤的病灶内皮质类固醇治疗
Plast Reconstr Surg. 1989 Mar;83(3):459-67. doi: 10.1097/00006534-198903000-00009.
3
Hemangioma of clitoris, confused with adrenogenital syndrome: case report.阴蒂血管瘤，误诊为肾上腺生殖器综合征：病例报告。
Plast Reconstr Surg. 1978 Sep;62(3):452-4. doi: 10.1097/00006534-197809000-00030.