匐行性血管瘤19例临床及组织病理学分析  

Clinicopathological analysis of 19 cases of angioma serpiginosum

作　　者：王华[1] 刘宇[1] 王雷[1] 王刚[1] 

机构地区：[1]第四军医大学西京皮肤医院,西安710032

出　　处：《实用皮肤病学杂志》2015年第2期99-101,共3页Journal of Practical Dermatology

摘　　要：目的分析匐行性血管瘤患者的临床和组织病理学特点。方法对确诊的19例匐行性血管瘤患者的临床和组织病理学特点进行系统性回顾分析。结果匐行性血管瘤多发生于20岁以下的青年患者,皮损多表现为四肢发生的红色或暗红色斑疹,部分可融合。组织病理学表现为真皮浅层及真皮乳头毛细血管扩张,可见到血管内皮细胞增生。无炎性细胞浸润及红细胞外溢。结论匐行性血管瘤临床主要表现为多发针头大小红色斑点,簇集或小片状分布。组织病理学上主要表现为血管扩张,有时可见到内皮细胞增生,缺乏特异性。故需要结合临床和组织病理进行综合性分析后作出诊断。Objective To analyze the clinical and histopathological features of angioma serpiginosum. Methods A retrospective case series analysis was conducted on 19 patients diagnosed in our department with angioma serpiginosum. Results Angioma serpiginosum always occurred in young patients under 20 years of age, presented as red macula in the limbs. The eruptions were characterized histopathologically by ectatic dilatation of capillaries and basement membrane thickening with no swelling, no infl ammatory cell infi ltration. Conclusion There are specific clinical manifestations of angioma serpiginosum, multiple the needle sized red macules are the main performance. Vasodilation, sometimes obviously endothelial proliferation can be seen. The diagnosis of angioma serpiginosum needs comprehensive analysis that combining the clinical and pathological fi ndings.

关 键 词：血管瘤 匐行性 毛细血管扩张 内皮细胞 

分 类 号：R732.2[医药卫生—肿瘤]