头皮及上身上皮样血管瘤1例

A Case of Epithelioid Hemangioma of Scalp and Upper Body

患者男,40岁,头皮及上身皮疹20余年。皮肤科情况:头部可见大片状融合性皮色肿块,躯干及上肢见散在密集暗红色丘疹。无瘙痒、疼痛,无糜烂、渗出、鳞屑及溃疡。皮损组织病理示:真皮浅层可见大量增生的血管,内皮细胞大,有的突入管腔,血管间可见以淋巴细胞为主的浸润,大量嗜酸性粒细胞浸润。诊断:上皮样血管瘤。

A 40-year-old male presented nodules on scalp and body for more than 20 years.The physical examination showed a large skin-colored bump on the head,and dense dark red papules scattering on the trunk and upper limbs.No itching,pain,erosion,exudation,scales or ulcers.The histopathology of the lesions showed a large number of proliferated blood vessels in the superficial layer of the dermis,and the endothelial cells were large,some of which protruded into the lumen.And the infiltration of lymphocytes and eosinophils were seen between the vessels.The diagnosis of epithelioid hemangioma was made.