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上唇肿胀的评估:一种动静脉畸形

The Evaluation of Upper Labial Swelling: An Arteriovenous Malformation.

作者信息

Babu Manu, Kothari Aishwarya

机构信息

Otolaryngology-Head and Neck Surgery, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, Pune, IND.

出版信息

Cureus. 2024 Mar 20;16(3):e56533. doi: 10.7759/cureus.56533. eCollection 2024 Mar.

Abstract

Vascular malformations, which include disorders of the lymphatic or vascular systems, can appear in a variety of ways on radiographs, in the radiological department, and histologically. High-flow lesions with direct arteriovenous connections are known as arteriovenous malformations (AVMs). These lesions can cause soft tissue loss and deformity since they are difficult to diagnose early. This case report describes a 75-year-old female who presented with a severe bluish-purple swelling on her top lip. After conducting a thorough investigation, the patient's condition was quickly identified as AVM. After confirmation by USG Doppler and histological examination, the patient underwent a successful surgical resection that revealed a confined vascular lesion suggestive of AVM. The discussion explores the hemodynamic and embryologic factors that contribute to the formation of AVM, pointing out differences in hemodynamic properties and clinical symptoms. Treatment choices are influenced by the categorization of peripheral AVMs according to clinical standards and angiographic flow characteristics.

摘要

血管畸形,包括淋巴系统或血管系统的病症,可在放射科的X光片上、影像学上以及组织学上以多种方式呈现。具有直接动静脉连接的高流量病变被称为动静脉畸形(AVM)。这些病变由于难以早期诊断,可导致软组织缺失和畸形。本病例报告描述了一名75岁女性,其上前唇出现严重的蓝紫色肿胀。经过全面检查,患者的病情很快被确诊为AVM。经超声多普勒和组织学检查确认后,患者接受了成功的手术切除,术中发现一个局限的血管病变,提示为AVM。讨论探讨了促成AVM形成的血流动力学和胚胎学因素,指出了血流动力学特性和临床症状的差异。治疗选择受外周AVM根据临床标准和血管造影血流特征的分类影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edcc/11027442/a0ac2e8e592d/cureus-0016-00000056533-i01.jpg

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