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一名4岁女童腋动脉肌周细胞瘤，表现为中风及随后微孤立性病变进展。

Myopericytoma of the axillary artery in a 4-year-old girl presenting with stroke and subsequent progression of micro-isolated lesion.

作者信息

Kasa Kentaro, Shukuzawa Kota, Ozawa Hirotsugu, Chono Yoshihiko, Iwauchi Ai, Kawachi Kae, Ohki Takao

机构信息

Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan.

Department of Pathology, The Jikei University School of Medicine, Tokyo, Japan.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Mar 26;10(5):101493. doi: 10.1016/j.jvscit.2024.101493. eCollection 2024 Oct.

DOI:10.1016/j.jvscit.2024.101493
PMID:39069991
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11277370/
Abstract

A 4-year-old girl presented with complaints of transient speech disorder and left-sided weakness. Magnetic resonance imaging revealed multiple strokes, computed tomography showed a right axillary artery aneurysm of 40 mm, and an angiogram indicated retrograde embolism. She underwent aneurysm resection and reconstruction with a saphenous vein graft. Two years after surgery, a mass lesion occurred in the native artery on the proximal side of the prior surgical anastomosis. Surgical resection and reconstruction were performed. An isolated 1-mm diameter lesion was found in the retrospectively reviewed completion angiogram from the initial surgery, which was the origin of the subsequent progressive lesion. The pathological examination, including after the initial surgery, revealed a myopericytoma.

摘要

一名4岁女孩因短暂性言语障碍和左侧肢体无力前来就诊。磁共振成像显示多处中风，计算机断层扫描显示右腋动脉有一个40毫米的动脉瘤，血管造影显示逆行栓塞。她接受了动脉瘤切除并用大隐静脉移植进行重建。术后两年，在先前手术吻合口近端的原动脉处出现了一个肿块病变。进行了手术切除和重建。在对初次手术的回顾性完成血管造影中发现了一个直径1毫米的孤立病变，这是随后进展性病变的起源。包括初次手术后的病理检查显示为肌周细胞瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66ce/11277370/af2c0965b708/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66ce/11277370/87d6328720ad/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66ce/11277370/da2ce3a06173/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66ce/11277370/16731922967a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66ce/11277370/2423f0865fca/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66ce/11277370/af2c0965b708/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66ce/11277370/87d6328720ad/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66ce/11277370/da2ce3a06173/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66ce/11277370/16731922967a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66ce/11277370/2423f0865fca/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66ce/11277370/af2c0965b708/gr5.jpg

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