右小指血管瘤合并动脉瘤1例  

Hemangioma of the right little finger with aneurysm:a case report

作　　者：张翘楚 郭涛 顾加祥[1,3] 张文忠 许涛[1,3] 袁超群 刘宏君[1,3] Zhang Qiaochu;Guo Tao;Gu Jiaxiang;Zhang Wenzhong;Xu Tao;Yuan Chaoqun;Liu Hongjun(Hand and Foot Surgery,Northern Jiangsu People’s Hospital,Yangzhou 225001,China;Dalian Medical University,Dalian 116044,China;Clinical Medical College of Yangzhou University,Yangzhou 225003,China)

机构地区：[1]江苏省苏北人民医院手足外科,扬州225001 [2]大连医科大学,大连116044 [3]扬州大学临床医学院,扬州225003

出　　处：《中华整形外科杂志》2023年第8期888-890,共3页Chinese Journal of Plastic Surgery

摘　　要：手部血管瘤合并动脉瘤较为罕见,具体临床诊断治疗方法尚未明确。2021年2月江苏省苏北人民医院手足外科诊治1例右小指血管瘤合并动脉瘤患者。患者女,49岁,因"右小指发现肿物1年"入院。B型超声示右小指皮下低回声肿块,有血流,考虑血管瘤可能。术前诊断为右小指肿块(血管瘤)。完善术前相关检查后,行右手部小指血管瘤切除术。术后病理示右小指掌侧病变符合动脉瘤,右小指背侧病变符合静脉瘤。术后2年随访,病变无复发。Hand hemangioma combined with aneurysm is rare and its specific clinical diagnosis and treatment method are not yet clear.In February 2021,a 49-year-old female patient with a right small finger hemangioma and aneurysm was diagnosed and treated in the Department of Hand and Foot,Northern Jiangsu People’s Hospital.The patient was admitted to the hospital due to a tumor in the right little finger for 1 year.A low-echo mass with blood flow in the subcutaneous layer of the right little finger was detected on Doppler ultrasound and considered a hemangioma.Other laboratory tests and physical examinations showed no obvious abnormalities.The preoperative diagnosis was a right little finger mass(hemangioma).After completing the preoperative examination,we performed a resection of the hemangioma of the right little finger.Postoperative pathology showed that the mass located on the volar side of the right little finger was consistent with an aneurysm,and the one on the dorsal side of the right little finger was consistent with a venous aneurysm.After 2 years of follow-up,there was no recurrence of the lesion.

关 键 词：血管瘤 动脉瘤 静脉瘤 

分 类 号：R732.2[医药卫生—肿瘤]