临床与实验病理学杂志2017，Vol.33Issue(7)：750-753,4.DOI:10.13315/j.cnki.cjcep.2017.07.010
先天性血管瘤19例临床病理分析
Clinicopathological analysis of 19 cases with congenital nonprogressive hemangiomas
马靖 1沈萍 1陈洁枫 1金晓婷 1张忠德 1吴湘如 2殷敏智1
作者信息
- 1. 上海交通大学医学院附属上海儿童医学中心病理科,上海200127
- 2. 上海交通大学医学院附属上海新华医院病理科,上海200092
- 折叠
摘要
Abstract
Purpose To investigate the clinicopathological features and differential diagnosis of congenital nonprogressive hemangiomas in children.Methods The clinic pathologic data and follow-up results of 19 cases of congenital nonprogressive hemangiomas were collected.The histopathologic features of congenital nonprogressive hamangiomas were observed with HE staining and immunohistochemistry of EnVision two-step.Results Of the 19 patients,13 were males and 6 were females,with an average age of 52.4 months and medium age of 48 months.9 cases occurred in the limbs and trunk,10 lesions were located in head and face included 1 case with multifocal lesions.Grossly,the specimens were irregular solid mass with range from 0.4 cm to 7 cm in maximum diameter.Microscopically,the lesions were composed of capillary lobules that separated by abnormal dense fibrotic dermal stroma typically containing a prominent component of large vessels.Immunohistochemically,the tumor cells were positive for CD31,CD34,and WT1,but negative for D2-40 and GLUT1.All eases underwent surgical resection,and the follow-up period was 1-24 months.There was no recurrence or metastasis.Conclusion Congenital nonprogressive hemangioma is a rare benign vascular tumor in children,with characteristic clinical and pathologic features.So the exact diagnosis is very important for both pathologists and clinicians.关键词
先天性血管瘤/病理/鉴别诊断Key words
congenital hemangiomaspathology/pathology/differential diagnosis分类
医药卫生引用本文复制引用
马靖,沈萍,陈洁枫,金晓婷,张忠德,吴湘如,殷敏智..先天性血管瘤19例临床病理分析[J].临床与实验病理学杂志,2017,33(7):750-753,4.
