Cristallini E G, Ottaviani C
Unità Organica, Anatomia e Istologia Patologica, Ospedale S. Giovanni Battista, Foligno, Perugia.
Pathologica. 1997 Feb;89(1):59-61.
A case of intramuscular hemangioma (large vessel type) occurring in an eighteen year old woman is described. Medical history reported a pulled muscle in the same region 5 years earlier. By needle biopsy was performed the diagnosis of hematoma evolved to sclerosis. Since pain persisted the neoplasia was removed. Intramuscular hemangioma is a benign neoplasia. Recurrences are always due to incomplete excision. Angiosarcomas and liposarcomas are the two tumors to be differentiated from hemangiomas of skeletal muscle. The relative paucity of cases combined with widespread histological pictures make the diagnosis very difficult.
本文描述了一例发生在一名18岁女性身上的肌内血管瘤(大血管型)。病史显示该区域5年前曾有肌肉拉伤。通过针吸活检诊断为血肿演变为硬化。由于疼痛持续存在,遂将肿瘤切除。肌内血管瘤是一种良性肿瘤。复发总是由于切除不完全所致。血管肉瘤和脂肪肉瘤是两种需要与骨骼肌血管瘤相鉴别的肿瘤。病例相对较少且组织学表现多样,使得诊断非常困难。