摘要
本文收集手术切除的肉芽肿性血管瘤27例,由于既往对该病变认识不够,部分病例被误诊为其他疾病。该病有一定的特异性,大多数发生于青壮年,平均年龄34岁,肿物生长快,病程较短,一般仅数月。可发生于任何部位的皮肤,以四肢常见。病变体积较小,一般直径达1.5cm时即停止生长。肿物常呈带短蒂的结节,表面可并发糜烂或溃疡,继发感染可附有脓苔,伴有恶臭。组织形态学似血管瘤,有分叶状结构,于蒂的基底部有表皮小颈圈。关于该病变之命名尚不一致,该病变不是真性肿瘤,而是以血管增生为主的瘤样病变。
In the paper 27 cases resected for granulomatous angioma were collected. Since the lesions were not recognized formerly, some cases were misdiagnosed. The lesion has some particularities. It often occurs in middle aged persons with an average age of 34 years. It grows rapidly with a short process of a few months. Granulomatous angioma may occur anywhere in the skin, but is commonly found in the extremities. The lesion is small usually about 1.5cm in diameter, and then the growth stops. A nodule often appears with a short pedunculeand comlicates with superficial erosion or ulceration. In association with secondary infection, it may be coated with suppuration and stench. The term is still contraversial. The lesion is not supposed as a tumor, but a tumor-like lesion with hyperplasia of blood vessel.
关键词
肉芽肿性
血管肿瘤
形态学
granulomatous angioma
peduncule
erosion
ulceration
coat
