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首页> 外文期刊>Dermatologic surgery >Intravascular pyogenic granuloma arising in an acquired arteriovenous malformation: report of a case and review of the literature.
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Intravascular pyogenic granuloma arising in an acquired arteriovenous malformation: report of a case and review of the literature.

机译：在获得性动静脉畸形中发生的血管内化脓性肉芽肿：病例报告并复习文献。

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摘要

Background. Pyogenic granuloma, also known as lobular capillary hemangioma, is a benign vascular skin tumor. Intravascular variant of this vascular tumor is rare and such a variant arising in another hemangioma is extremely unusual. Objective. The objective was to present a patient with an intravascular pyogenic granuloma arising in an acquired arteriovenous malformation of the palm. Methods. We report a case and review the literature. Result. A 44-year-old woman presented with an easy-bleeding and ulcerative nodule with a hyperkeratotic collaret on her right palm for 3-4 months. The nodule measured 6 x 6 mm in size and was tender. Under the clinical impression of pyogenic granuloma, the lesion was totally excised and the microscopic examination revealed an intravascular pyogenic granuloma in the papillary dermis with an underlying arteriovenous malformation. Conclusion. A rare composite vascular tumor is reported, and our case presented as a red eroded nodule surrounded by a keratotic collaret, which was easily misdiagnosed as pyogenic granuloma clinically. We suggest that any pyogenic granuloma-like lesion should be palpated carefully, and if a nodule is present, surgical excision rather than cryotherapy or laser ablation should be considered. CHIA-HUI HUNG, HUNG-WEN KUO, YAO-KUN CHIU, AND PO-HAN HUANG HAVE INDICATED NO SIGNIFICANT INTEREST WITH COMMERCIAL SUPPORTERS.
机译：背景。化脓性肉芽肿，也称为小叶毛细管血管瘤，是一种良性血管性皮肤肿瘤。这种血管肿瘤的血管内变体很少见，而在另一种血管瘤中出现的这种变体极为罕见。目的。目的是向患者介绍因获得性手掌动静脉畸形而引起的血管内化脓性肉芽肿。方法。我们报告一个案例并审查文献。结果。一名44岁的女性在她的右手掌上出现了易出血，溃疡性结节，并有一个角化过度的项圈，持续了3-4个月。结节大小为6 x 6 mm，很柔软。在化脓性肉芽肿的临床印象下，将病变完全切除，并且显微镜检查显示乳头真皮中的血管内化脓性肉芽肿伴潜在的动静脉畸形。结论。据报道罕见的复合血管瘤，我们的病例表现为红色侵蚀的结节，周围有角化衣领，在临床上很容易被误诊为化脓性肉芽肿。我们建议应仔细触摸任何化脓性肉芽肿样病变，如果存在结节，应考虑手术切除而不是冷冻疗法或激光消融。洪启辉，郭鸿文，邱耀坤和黄宝涵对商业支持者没有明显的兴趣。

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