摘要
患者男,29岁。四肢、臀部起蓝色结节1年余。皮损约数十个,蓝色或蓝黑色,质软可压缩,部分有触痛。组织病理示:真皮下部及皮下组织见大量纡曲扩张血管腔,管壁内衬一层血管内皮细胞,其外有一层至数层血管球细胞。免疫组化:平滑肌肌动蛋白(+),波形蛋白(+),CD31(-)。结合临床表现、组织病理改变及免疫组化染色结果诊断:播散性多发性血管球瘤。
A 29-year-old man presented with dozens of nodules on his limbs and right buttock more than I year. Skin lesions were blue-black,compressible,partially tender. Skin biopsy showed multiple irregular, dilated, endothelium-lined vascular channels surrounded by a single to a few layers of glomus cells in the lower dermis and subcutaneous tissue. Immnnohistochemical analysis showed that smooth-muscle aetin(SMA) and vimentin were positive and CD31 was negative. The diagnosis of disseminated multiple glomus tumors was confirmed by clinical, histological and immunohistochemical evidences.
出处
《中国皮肤性病学杂志》
CAS
北大核心
2009年第1期50-51,共2页
The Chinese Journal of Dermatovenereology
关键词
血管球瘤
多发性
播散性
Glomus Tumors
Multiple
Disseminated