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成人获得性簇状血管瘤:脉冲染料激光治疗失败

[Acquired tufted angioma in an adult: failure of pulsed dye laser therapy].

作者信息

Dewerdt S, Callens A, Machet L, Grangeponte M C, Vaillant L, Lorette G

机构信息

Service de Dermatologie, CHU Trousseau, Tours.

出版信息

Ann Dermatol Venereol. 1998 Jan;125(1):47-9.

PMID:9747209
Abstract

BACKGROUND

Tufted angioma, described by Wilson Jones in 1976, is a benign acquired vascular tumor occurring in children or young adults, usually located on the neck or the upper part of the thorax. Pathology examination confirms the diagnosis showing well-limited lobules in the dermis composed of tight clusters of capillaries without atypical cells.

CASE REPORT

An 81-year-old woman consulted for a large extensive angiomatous lesion involving the neck and shoulder which had developed over two years. Histopathology reported tufted angioma. Treatment with pulsed dye laser was unsuccessful.

DISCUSSION

Different treatments have been proposed for tufted angiomas: surgery, cryotherapy, interferon, argon laser and pulsed dye laser. This is a second cases of unsuccessful treatment, perhaps due to deep extension of the angioma.

摘要

背景

簇状血管瘤由威尔逊·琼斯于1976年描述,是一种发生于儿童或年轻人的良性后天性血管肿瘤,通常位于颈部或胸部上部。病理检查确诊显示真皮内界限清楚的小叶,由紧密聚集的毛细血管组成,无异常细胞。

病例报告

一名81岁女性因颈部和肩部出现的大面积广泛血管瘤病变前来就诊,该病变已发展两年。组织病理学报告为簇状血管瘤。脉冲染料激光治疗未成功。

讨论

针对簇状血管瘤已提出了不同的治疗方法:手术、冷冻疗法、干扰素、氩激光和脉冲染料激光。这是第二例治疗失败的病例,可能是由于血管瘤深部扩展所致。

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