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表现为臀区广泛病变的海绵状静脉畸形

Spongiform Venous Malformation Presenting as an Extensive Lesion in the Gluteal Region.

作者信息

Gutiérrez Villarreal Ilse Marilú, Ancona Castro Circe, Sáenz de León Carlos S, Cabral Rodríguez Génesis A, Montemayor Lozano Juan Pablo, Arenas Guzmán Roberto

机构信息

Dermatology, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE) Monterrey Regional Hospital, Monterrey, MEX.

Infectious Disease, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE) Monterrey Regional Hospital, Monterrey, MEX.

出版信息

Cureus. 2025 Feb 15;17(2):e79059. doi: 10.7759/cureus.79059. eCollection 2025 Feb.

DOI:10.7759/cureus.79059
PMID:40104490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11914855/
Abstract

Venous malformations (VMs) are vascular malformations affecting a small portion of the population. A 53-year-old woman presented with a congenital VM on the left gluteal region confirmed through clinical imaging and histopathology. Treatment with sclerotherapy led to significant improvement. VMs often cause pain, swelling, or mobility limitations. Diagnosis relies on Doppler ultrasound and MRI, while sclerotherapy is the preferred treatment due to its safety and efficacy. This case highlights sclerotherapy as a key treatment in a multidisciplinary management approach.

摘要

静脉畸形（VMs）是一种影响一小部分人群的血管畸形。一名53岁女性因左臀区域先天性静脉畸形就诊，经临床影像学和组织病理学确诊。硬化治疗使病情得到显著改善。静脉畸形常导致疼痛、肿胀或活动受限。诊断依赖于多普勒超声和磁共振成像（MRI），而硬化治疗因其安全性和有效性成为首选治疗方法。该病例突出了硬化治疗在多学科管理方法中的关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be62/11914855/79677df4fe37/cureus-0017-00000079059-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be62/11914855/95772899e4be/cureus-0017-00000079059-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be62/11914855/d6918b27fdcd/cureus-0017-00000079059-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be62/11914855/79677df4fe37/cureus-0017-00000079059-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be62/11914855/95772899e4be/cureus-0017-00000079059-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be62/11914855/d6918b27fdcd/cureus-0017-00000079059-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be62/11914855/79677df4fe37/cureus-0017-00000079059-i03.jpg

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本文引用的文献

1
Comprehensive phenotypic and genomic characterization of venous malformations.静脉畸形的综合表型和基因组特征分析。
Hum Pathol. 2024 Mar;145:48-55. doi: 10.1016/j.humpath.2024.02.004. Epub 2024 Feb 15.
2
Surgical management of vascular malformations of the upper extremity: A review of current literature.上肢血管畸形的外科治疗：当前文献综述
JPRAS Open. 2022 May 21;33:63-75. doi: 10.1016/j.jpra.2022.05.008. eCollection 2022 Sep.
3
Characteristics, clinical presentation, and treatment outcomes of venous malformation in the extremities.
四肢静脉畸形的特征、临床表现和治疗结果。
J Vasc Surg Venous Lymphat Disord. 2022 Jan;10(1):152-158. doi: 10.1016/j.jvsv.2021.05.011. Epub 2021 Jun 4.
4
Venous malformations.静脉畸形。
Semin Pediatr Surg. 2020 Oct;29(5):150976. doi: 10.1016/j.sempedsurg.2020.150976. Epub 2020 Sep 16.
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Imaging of Vascular Malformations.血管畸形的影像学检查
Radiol Clin North Am. 2020 Jul;58(4):815-830. doi: 10.1016/j.rcl.2020.02.003. Epub 2020 Apr 23.
6
Evaluation of pain incidence due to venous malformation based on data from 85 institutions in Japan.基于日本 85 家医疗机构的数据评估静脉畸形所致疼痛的发生率。
J Vasc Surg Venous Lymphat Disord. 2020 Mar;8(2):244-250. doi: 10.1016/j.jvsv.2019.03.008. Epub 2019 Aug 27.
7
Percutaneous sclerotherapy for spongiform venous malformations - analysis of patient-evaluated outcome and satisfaction.经皮硬化治疗海绵状静脉畸形——患者评估结果与满意度分析
Vasa. 2017 Oct;46(6):477-483. doi: 10.1024/0301-1526/a000650. Epub 2017 Aug 25.
8
Clinical and sonographic features of pediatric soft-tissue vascular anomalies part 2: vascular malformations.小儿软组织血管异常的临床及超声特征 第2部分：血管畸形
Pediatr Radiol. 2017 Aug;47(9):1196-1208. doi: 10.1007/s00247-017-3906-x. Epub 2017 Aug 4.
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[Clinicopathologic study of pediatric vascular anomalies: a report of 117 cases].小儿血管异常的临床病理研究：117例报告
Zhonghua Bing Li Xue Za Zhi. 2016 Apr 8;45(4):252-7. doi: 10.3760/cma.j.issn.0529-5807.2016.04.008.