Kämpfer R, Hundeiker M
Z Hautkr. 1977 Nov 1;52(21):1083-98.
A comparison of clinical statements and histologic findings reveals a lower diagnostic success in angiomas, compared with other benign tumours. Cavernous forms of angiomas are very often not discerned. Capillary angiomas are misdiagnosed as cavernous ones, and teleangiectatic nevi as angiomas. Mistakes and their incidences are pointing not at real difficulties of differentialdiagnosis, but at wrong information of physicians as to the cause of errors. According to this supposition, a great part of textbooks in different medical disciplines offer no correct representation of this object. Our results reveal problems concerning the representation of some aspects of skin diseases outside of Dermatology. The diagnosis of angiomas, with special regard to the therapeutic consequences of the fundamental distinction of angiomas from angiectatic nevi by proliferation of endothelial cells, and of cavernous from capillary angiomas by vascular structure imitating arteries or veins, demands more attention in medical education.
临床诊断与组织学检查结果对比显示，与其他良性肿瘤相比，血管瘤的诊断成功率较低。海绵状血管瘤常常难以识别。毛细血管瘤常被误诊为海绵状血管瘤，而毛细血管扩张痣则被误诊为血管瘤。这些错误及其发生率并非表明鉴别诊断存在真正困难，而是说明医生对于错误原因的认识有误。基于这一推测，不同医学学科的大部分教科书对该疾病的描述并不准确。我们的研究结果揭示了皮肤病学以外的一些皮肤病相关问题。血管瘤的诊断，特别是从内皮细胞增殖角度区分血管瘤与毛细血管扩张痣，以及从血管结构类似动脉或静脉的角度区分海绵状血管瘤与毛细血管瘤，鉴于其对治疗结果的影响，在医学教育中应得到更多关注。
