Walling A K, Companioni G R, Belsole R J
J Hand Surg Am. 1985 Mar;10(2):288-91. doi: 10.1016/s0363-5023(85)80126-x.
Three cases of angiolipomas involving the wrist and hand are reported that emphasize the pathologic differences between infiltrating and noninfiltrating types. Although not previously reported in the hand, infiltrating angiolipomas are biologically aggressive and usually invade local tissues. Proper treatment requires wide excision, but the proximity to important neurovascular structures limits adequate surgical margin in the hand. Compromising surgical resection to preserve function should be undertaken only with the understanding that recurrence is more likely.
本文报告了3例累及腕部和手部的血管脂肪瘤病例，强调了浸润性和非浸润性血管脂肪瘤的病理差异。浸润性血管脂肪瘤虽然此前未见手部报道，但具有生物学侵袭性，通常会侵犯局部组织。恰当的治疗需要广泛切除，但由于靠近重要的神经血管结构，手部手术切缘难以足够。仅在理解复发可能性更大的情况下，才应在保留功能的前提下进行妥协性手术切除。
