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一例罕见的小儿阴囊血管瘤:病例报告及对整块切除作为确定性治疗的综合分析

A rare pediatric scrotal hemangioma: A case report and comprehensive analysis of n Bloc Excision as definitive treatment.

作者信息

Zahran Mochammad Fairuz, Yuri Prahara

机构信息

Division of Urology, Department of Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Dr. Sardjito Hospital, Yogyakarta 55281, Indonesia.

Division of Urology, Department of Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Dr. Sardjito Hospital, Yogyakarta 55281, Indonesia.

出版信息

Int J Surg Case Rep. 2024 Mar;116:109347. doi: 10.1016/j.ijscr.2024.109347. Epub 2024 Feb 6.

Abstract

INTRODUCTION AND IMPORTANCE

Hemangiomas, abnormal growths of vascular endothelial cells, are common vascular tumors in children. In contrast, their prevalence is 1-3 % in full-term newborns. Their unique location and associated complications can cause significant distress for patients and families. Prompt treatment is crucial to prevent complications such as fertility issues, hemorrhage, or other related problems. This case study explores the diagnosis and management of scrotal hemangiomas, emphasizing the importance of timely intervention.

CASE PRESENTATION

A 10-year-old boy with a scrotal hemangioma since birth underwent surgical excision due to increased discomfort caused by a new lesion. 2.5 × 2.3 cm hemangioma was successfully removed through En Bloc Excision. The patient experienced a swift recovery, and histopathologic analysis confirmed the diagnosis of cavernous hemangioma. This case underscores the importance of careful monitoring and decisive intervention in managing scrotal hemangiomas.

CLINICAL DISCUSSION

Scrotal hemangiomas often present challenges in diagnosis, mimicking malignant tumors. Clinical examination, ultrasonography, and histopathology are crucial for accurate diagnosis. Various surgical techniques, including En Bloc Excision, have been employed, with postoperative care tailored to individual cases. Precise preoperative diagnosis is essential to distinguish scrotal hemangiomas from other conditions and guide appropriate management strategies.

CONCLUSION

This case study highlights the management of a scrotal hemangioma through En Bloc Excision, emphasizing the importance of considering definitive treatment options. The comprehensive scrotal examination is crucial for accurate diagnosis and effective management of this rare vascular tumor.

摘要

引言与重要性

血管瘤是血管内皮细胞的异常增生,是儿童常见的血管肿瘤。相比之下,其在足月儿中的患病率为1%-3%。其独特的位置及相关并发症会给患者及其家庭带来极大困扰。及时治疗对于预防诸如生育问题、出血或其他相关问题等并发症至关重要。本病例研究探讨阴囊血管瘤的诊断与管理,强调及时干预的重要性。

病例介绍

一名自出生即患有阴囊血管瘤的10岁男孩,因新出现的病变导致不适加剧而接受手术切除。通过整块切除成功移除了一个2.5×2.3厘米的血管瘤。患者恢复迅速,组织病理学分析确诊为海绵状血管瘤。该病例强调了在管理阴囊血管瘤时仔细监测和果断干预的重要性。

临床讨论

阴囊血管瘤在诊断方面常常具有挑战性,容易误诊为恶性肿瘤。临床检查、超声检查和组织病理学对于准确诊断至关重要。已经采用了包括整块切除在内的各种手术技术,并根据个体情况进行术后护理。精确的术前诊断对于区分阴囊血管瘤与其他病症并指导适当的管理策略至关重要。

结论

本病例研究突出了通过整块切除来管理阴囊血管瘤,强调了考虑确定性治疗方案的重要性。全面的阴囊检查对于准确诊断和有效管理这种罕见的血管肿瘤至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef51/10864203/fd4f51594e68/gr1.jpg

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