Eng A M, Hong H Y
Department of Pathology, Loyola University Medical Center, Maywood, Illinois 60153.
Cutis. 1993 Aug;52(2):101-3.
Two cases of pyogenic granuloma recurred despite what was originally thought to be a sufficient surgical excision. The granulomas presented clinically as polypoid structures, one on the finger and one on the chin. On histologic examination, all showed polypoid configuration with lobules of small vessels and endothelial cell proliferation. The recurrent lesions also showed similar lobules, but interspersed between the collagen bundles in the deeper dermis. Vascular tumors such as the lobular pyogenic granulomas, intravenous capillary hemangiomas, and acquired tufted angiomas were compared to our tumors.
尽管最初认为手术切除足够彻底，但仍有两例化脓性肉芽肿复发。这些肉芽肿临床上表现为息肉样结构，一例位于手指，一例位于下巴。组织学检查显示，所有病例均呈息肉样结构，有小血管小叶和内皮细胞增生。复发病变也显示出类似的小叶，但散布于真皮深层的胶原束之间。将小叶状化脓性肉芽肿、静脉内毛细血管瘤和后天性丛状血管瘤等血管肿瘤与我们的肿瘤进行了比较。
