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1064纳米钕钇铝石榴石激光治疗外阴福代斯血管角皮瘤:病例报告

Response to 1064 nm Nd:YAG LASER in treatment of vulvar Fordyce's Angiokeratoma: case report.

作者信息

Sathler-Melo Cláudia Carvalho, Mendes-Pinto Daniel, de Castro-Santos Guilherme

机构信息

Clínica Angiovasc, Nova Lima, MG, Brasil.

Hospital Felício Rocho, Belo Horizonte, MG, Brasil.

出版信息

J Vasc Bras. 2024 Oct 7;23:e20230121. doi: 10.1590/1677-5449.202301212. eCollection 2024.

DOI:10.1590/1677-5449.202301212
PMID:39421696
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11486466/
Abstract

Fordyce's Angiokeratoma (AKF) is a benign type of vascular lesion that affects the male and female external genitalia. Prevalence is unknown and there is no apparent hereditary component. Diagnosis can be suggested by ectoscopy, by the presence of purple, bluish, black or red papules on the vulva, clitoris, scrotum, or penis body or glans. Most patients are asymptomatic. Various methods have been used for treatment, including surgery, electrocoagulation, chemical cauterization, sclerotherapy, and LASER. The effectiveness and complications of these therapies are varied. The purpose of this article is to report the case of a 56-year-old woman with abundant and painful vulvar lesions treated with a 1064 nm Nd:YAG LASER. The 1064 nm Nd:YAG LASER proved to be a viable therapeutic option, with satisfactory results and a low rate of complications.

摘要

福代斯血管角皮瘤(AKF)是一种良性血管病变,可累及男性和女性外生殖器。其患病率未知,且无明显遗传因素。通过外阴镜检查,在外阴、阴蒂、阴囊、阴茎体或龟头出现紫色、蓝色、黑色或红色丘疹可提示诊断。大多数患者无症状。已采用多种方法进行治疗,包括手术、电凝、化学烧灼、硬化疗法和激光治疗。这些疗法的有效性和并发症各不相同。本文旨在报告一名56岁女性外阴病变丰富且疼痛,接受1064nm Nd:YAG激光治疗的病例。1064nm Nd:YAG激光被证明是一种可行的治疗选择,效果满意且并发症发生率低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c099/11486466/033144808245/jvb-23-e20230121-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c099/11486466/7a0ba7d04c05/jvb-23-e20230121-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c099/11486466/91b0526afbc1/jvb-23-e20230121-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c099/11486466/033144808245/jvb-23-e20230121-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c099/11486466/7a0ba7d04c05/jvb-23-e20230121-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c099/11486466/91b0526afbc1/jvb-23-e20230121-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c099/11486466/033144808245/jvb-23-e20230121-g03.jpg

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本文引用的文献

1
Penile Angiokeratomas (PEAKERs) Revisited: A Comprehensive Review.阴茎血管角皮瘤(PEAKERs)再探讨:全面综述
Dermatol Ther (Heidelb). 2020 Aug;10(4):551-567. doi: 10.1007/s13555-020-00399-3. Epub 2020 Jun 6.
2
Angiokeratoma of Fordyce response to long pulsed Nd:YAG laser treatment.福代斯血管角皮瘤对长脉冲Nd:YAG激光治疗的反应。
Dermatol Ther. 2016 Jan-Feb;29(1):48-51. doi: 10.1111/dth.12296. Epub 2015 Nov 3.
3
Pulsed dye laser versus long pulsed Nd:YAG laser in the treatment of angiokeratoma of Fordyce: A randomized, comparative, observer-blinded study.
脉冲染料激光与长脉冲钕:钇铝石榴石激光治疗福代斯血管角皮瘤的随机、对照、观察者盲法研究
J Dermatolog Treat. 2016;27(3):270-4. doi: 10.3109/09546634.2015.1094180. Epub 2015 Oct 7.
4
Angiokeratoma of the vulva.外阴血管角化瘤
An Bras Dermatol. 2011 Mar-Apr;86(2):333-5. doi: 10.1590/s0365-05962011000200017.
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Treatment of angiokeratoma of Fordyce with long-pulse neodymium-doped yttrium aluminium garnet laser.长脉冲掺钕钇铝石榴石激光治疗福代斯血管角皮瘤
Dermatol Surg. 2009 Jan;35(1):92-7. doi: 10.1111/j.1524-4725.2008.34387.x. Epub 2008 Dec 8.
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Dermoscopy of solitary angiokeratomas: a morphological study.孤立性血管角化瘤的皮肤镜检查:一项形态学研究。
Arch Dermatol. 2007 Mar;143(3):318-25. doi: 10.1001/archderm.143.3.318.
7
Angiokeratoma. A clinicopathological study.血管角化瘤。一项临床病理研究。
Arch Dermatol. 1967 Feb;95(2):166-75. doi: 10.1001/archderm.95.2.166.
8
Angiokeratoma of the vulva: diagnosis and review of the literature.
Obstet Gynecol Surv. 1989 May;44(5):339-46. doi: 10.1097/00006254-198905000-00011.