Mandelli Carlo, Mura Cinzia, Bisoglio Andrea, Sanvito Francesca, Mortini Pietro
Department of Neurosurgery Ospedale San Raffaele, Milan, Italy.
Department of Anatomic Pathology, Ospedale San Raffaele, Milan, Italy.
Surg Neurol Int. 2025 Jul 11;16:281. doi: 10.25259/SNI_437_2025. eCollection 2025.
Arteriovenous malformation hemangioma (AVMH) is a rare, benign vascular lesion, often located in the head and neck and less frequently in the limbs. Early symptoms are typically nonspecific, making the clinical differential diagnosis with other benign lesions, such as schwannomas, particularly challenging.
We report the case of a 25-year-old male presenting with a lesion in the forearm. Initially, the clinical and imaging features suggested a schwannoma, due to its location along a peripheral nerve and the absence of distinctive vascular signs. The lesion was surgically excised. Histopathological examination revealed features consistent with AVMH, confirming the diagnosis.
This case underscores the importance of including AVMH in the differential diagnosis of soft tissue lesions, especially when located along the course of a peripheral nerve and mimicking other benign tumors such as schwannomas.
动静脉畸形血管瘤(AVMH)是一种罕见的良性血管病变,常位于头颈部,较少见于四肢。早期症状通常不具有特异性,这使得与其他良性病变(如神经鞘瘤)进行临床鉴别诊断极具挑战性。
我们报告一例25岁男性前臂出现病变的病例。最初,由于病变位于周围神经并缺乏明显的血管征象,临床和影像学特征提示为神经鞘瘤。该病变通过手术切除。组织病理学检查显示符合AVMH的特征,从而确诊。
该病例强调了在软组织病变鉴别诊断中纳入AVMH的重要性,尤其是当病变位于周围神经走行部位并类似其他良性肿瘤(如神经鞘瘤)时。