Kanik A B, Oh C H, Bhawan J
Department of Dermatology, Boston University School of Medicine, Massachusetts 02118-2515, USA.
Am J Dermatopathol. 1995 Jun;17(3):312-5. doi: 10.1097/00000372-199506000-00017.
A 25-year-old man had a 5-year history of multiple tender lesions of both extremities and trunk. Biopsy found an encapsulated subcutaneous nodule composed of numerous small, well-formed blood vessels, some filled with fibrin thrombi. This lesion was made up > 99.9% of blood vessels with only a minimal amount of adipose tissue. We believe our case is in the spectrum of angiolipoma even though it is made up almost entirely of a vascular component. These tumors may be confused with other multiple or eruptive vascular lesions that have a more ominous clinical course. This case is being reported to stress that multiple or eruptive "vascular" lesions do not always reflect an underlying immunosuppression or malignancy.
一名25岁男性有四肢和躯干多发压痛性病变5年病史。活检发现一个包膜下皮下结节，由大量小的、形态良好的血管组成，一些血管内充满纤维蛋白血栓。该病变血管成分占比>99.9%，仅有少量脂肪组织。尽管我们的病例几乎完全由血管成分构成，但我们认为它仍属于血管脂肪瘤范畴。这些肿瘤可能会与其他具有更凶险临床病程的多发或发疹性血管病变相混淆。报告该病例是为了强调多发或发疹性“血管”病变并不总是反映潜在的免疫抑制或恶性肿瘤。
