Hideo Tsuzuki, Hiroe Oishi, Atsushi Morishita, Chizuko Uemura, Mitsuko Iguchi, Tsutomu Shinohara
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引用次数: 0

摘要

目的:静脉畸形(VMs)是由静脉系统血管扩张引起的具有海绵状或囊状静脉腔的低流量血库肿块病变。VM是一种先天性病变,在出生时出现,并在儿童时期随着宿主的成长而扩大。由VMs引起的皮下病变很少在老年时被诊断出来。我们报告一例腋窝VM在一个老年患者。患者:92岁男性,胸部CT扫描疑似左腋窝淋巴结病变(单结节,长23mm)。七年前,胸部CT扫描显示在同一区域有一个13毫米的小结节。结果:超声弹性成像显示病变不硬,但彩色多普勒显示血流丰富,提示恶性病变。组织学上病变与VM一致。结论:vm应被视为浅表淋巴结病的鉴别诊断,即使在老年患者中也是如此。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Slow-growing venous malformation in a 92-year-old man, mimicking axillary lymphadenopathy.

Objective: Venous malformations (VMs) are low-flow blood reservoir mass lesions with spongy or cystic venous lumens caused by dilation of the venous system vasculature. A VM is a congenital lesion that presents at birth and enlarges during childhood as the host grows. Subcutaneous lesions due to VMs are rarely diagnosed at an advanced age. We report a case of axillary VM in an older patient.

Patient: A 92-year-old man was suspected of having left axillary lymphadenopathy (single nodule, 23 mm long) on chest computed tomography (CT) scan. Seven years earlier, a chest CT scan showed a small, 13 mm nodule in the same area.

Results: On ultrasound elastography, the lesion did not appear hard, however, color Doppler imaging revealed abundant blood flow, suggesting a malignant lesion. Histologically, the lesions were consistent with VM.

Conclusion: VMs should be considered a differential diagnosis for superficial lymphadenopathy, even in older patients.

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