发生于头颈部的6例上皮样血管瘤临床分析

吕丹; 徐婷; 朱远志; 张琴; 刘世喜

doi:10.13201/j.issn.1001-1781.2013.16.002

发生于头颈部的6例上皮样血管瘤临床分析

- 四川大学华西医院耳鼻咽喉头颈外科(成都, 610041)

详细信息

通讯作者: 刘世喜,E-mail:Liusx999@163.com

中图分类号: R739.91

收稿日期: 2013-01-29

Clinical analysis of epithelioid hemangioma of the head and neck in six cases

- Department of Otolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu, 610041, China

More Information

Corresponding author: LIU Shixi, E-mail: Liusx999@163.com

Received Date: 29 January 2013

摘要

摘要: 目的:探讨发生于头颈部的上皮样血管瘤的临床表现、病理特点及诊治情况。方法:分析我院2007-08-2011-09确诊为上皮样血管瘤的6例患者的临床及病理资料、诊治过程及预后情况。结果:6例患者中,男4例,女2例;年龄18～44岁（中位年龄29.5岁）。肿瘤位于腮腺、颈部及耳部,4例以颈部包块为主要表现,均无创伤史。6例患者均采用手术治疗,未辅以药物治疗,随访过程中有4例复发,复发患者中有3例再经手术治疗（其中2例术后行放疗）,未见复发。结论:上皮样血管瘤的确诊有赖于结合临床特点、组织病理学及免疫组织化学检查,应特别注意与木村病的鉴别。多采用手术治疗,预后良好,但易复发。
- 血管瘤 /
- 临床表现 /
- 免疫组织化学 /
- 鉴别诊断
Abstract: Objective:To analyze the clinical presentation,pathological feature,therapy and outcome of epithelioid hemangioma.Method:We reviewed the clinical findings,pathologic changes and outcomes of six cases with epithelioid hemangioma from Aug.2007 to Sept.2011.Result:There are four males and two females ranged from 18 to 44 years（median year was 29.5）.Primary lesions sites included the parotid gland,neck and ear.Four lesions presented as a solitary mass,and no patient had history of trauma.All patients were treated by surgeries,and not complemented by medical.There were four patients relapsed during follow-up,and three of them accepted reoperations（two patients received postoperative radiotherapies）,and no recurrence was detected.Conclusion:Epithelioid hemangioma represents a benign vascular tumor,accurate diagnosis relies on clinical characteristic,histopathologic appearance and immunohistochemical findings,and it must be differentiated with Kimura’s disease.The main treatment is surgery and the prognosis is well,but easy to recurrence.
- hemangioma /
- clinical manifestation /
- immunohistochemistry /
- differential diagnoses

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