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伪装成锁骨肿物的上皮样血管瘤:一个诊断难题。

Epithelioid Hemangioma Masquerading as a Clavicular Mass: A Diagnostic Conundrum.

作者信息

Duddu Pawani P, Venkata Renuka Inuganti, Imandi Santhi, Shah Haritha

机构信息

Pathology, NRI Medical College, Guntur, IND.

出版信息

Cureus. 2024 Jun 29;16(6):e63449. doi: 10.7759/cureus.63449. eCollection 2024 Jun.

DOI:10.7759/cureus.63449
PMID:39077253
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11285015/
Abstract

Epithelioid hemangioma (EH), a rare benign tumor, is documented in only a few cases in the medical literature. The complications of epithelioid hemangioma depend on the site of their presentation. If located in the eye, epithelioid hemangiomas may lead to amblyopia; in the larynx, they can cause respiratory issues; and if affecting bone, they can result in osteolytic lesions. Here, we present a case of a 40-year-old male who presented with swelling in the medial end of the right clavicle. Following clinical evaluation and a computed tomography scan, an excision biopsy was performed. The excised lesion measured 3 x 2.5 cm, and histopathological examination confirmed the finding as an epithelioid hemangioma.

摘要

上皮样血管瘤(EH)是一种罕见的良性肿瘤,医学文献中仅有少数病例记载。上皮样血管瘤的并发症取决于其出现的部位。如果位于眼部,上皮样血管瘤可能导致弱视;在喉部,它们会引起呼吸问题;而如果累及骨骼,它们会导致溶骨性病变。在此,我们报告一例40岁男性患者,其右锁骨内侧端出现肿胀。经过临床评估和计算机断层扫描后,进行了切除活检。切除的病变大小为3×2.5厘米,组织病理学检查证实该病变为上皮样血管瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57ba/11285015/f194b7915155/cureus-0016-00000063449-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57ba/11285015/de5750e9cf64/cureus-0016-00000063449-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57ba/11285015/62a0eaf9ddbc/cureus-0016-00000063449-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57ba/11285015/76f96acba14d/cureus-0016-00000063449-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57ba/11285015/f194b7915155/cureus-0016-00000063449-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57ba/11285015/de5750e9cf64/cureus-0016-00000063449-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57ba/11285015/62a0eaf9ddbc/cureus-0016-00000063449-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57ba/11285015/76f96acba14d/cureus-0016-00000063449-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57ba/11285015/f194b7915155/cureus-0016-00000063449-i04.jpg

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本文引用的文献

1
Epithelioid Hemangioma of Bone: A Rare Vascular Neoplasm. A Case Report and Literature Review.骨上皮样血管内皮瘤:一种罕见的血管肿瘤。病例报告及文献复习。
J Long Term Eff Med Implants. 2022;32(4):47-55. doi: 10.1615/JLongTermEffMedImplants.2022041868.
2
Epithelioid Haemangioma of Bone: A Case Series and Comprehensive Literature Review Reappraising the Diagnostic Classification of All Epithelioid Vascular Neoplasms of Bone.骨上皮样血管瘤:病例系列及全面文献综述——重新评估所有骨上皮样血管肿瘤的诊断分类
Cureus. 2021 Jun 1;13(6):e15371. doi: 10.7759/cureus.15371.
3
Multiple epithelioid hemangiomas with orbital involvement.
多发上皮样血管瘤累及眼眶
Case Rep Pathol. 2015;2015:629805. doi: 10.1155/2015/629805. Epub 2015 Jan 31.
4
Epithelioid hemangioma of lingual alveolar mucosa: an immunohistochemical case report.舌牙槽黏膜上皮样血管瘤:一例免疫组化病例报告
Case Rep Med. 2014;2014:436240. doi: 10.1155/2014/436240. Epub 2014 Feb 12.
5
Epithelioid hemangioma of bone and soft tissue: a reappraisal of a controversial entity.骨和软组织上皮样血管内皮瘤:对一个有争议实体的再评价。
Clin Orthop Relat Res. 2012 May;470(5):1498-506. doi: 10.1007/s11999-011-2070-0. Epub 2011 Sep 24.