中华皮肤科杂志 ›› 2010, Vol. 43 ›› Issue (8): 587-588.

• 短篇论著 • 上一篇    下一篇

儿童小汗腺血管瘤样错构瘤13例分析

牛会林1,王凤华2,陈峥嵘2,等3   

  1. 1. 广州市妇女儿童医疗中心
    2.
    3. 北京首都医科大学100069
  • 收稿日期:2009-12-30 修回日期:2010-01-28 出版日期:2010-08-15 发布日期:2010-08-10
  • 通讯作者: 牛会林 E-mail:hlinniu@gmail.com

Eccrine angiomatous hamartoma in children: 13 case report

  • Received:2009-12-30 Revised:2010-01-28 Online:2010-08-15 Published:2010-08-10
  • Contact: Hui-lin Niu E-mail:hlinniu@gmail.com

摘要:

摘要 目的 探讨儿童小汗腺血管瘤样错构瘤的临床病理特征。 方法 收集临床资料,活检组织经常规处理, HE染色及免疫组化染色,显微镜下观察13例小汗腺血管瘤样错构瘤的病理学特征。 结果 13例小汗腺血管瘤样错构瘤年龄2月至13岁(中位数5岁)。男7例,女6例。8例为先天性病变。发生部位全部位于四肢,其中手指及手掌4例,足部3例,前臂1例,膝盖2例,小腿3例。皮损表现为丘疹、红斑或结节。其中单发9例,多发4例。全部皮损均随年龄增长而病灶增大,局部多汗2例,压痛3例,均无自发疼痛。病理组织形态学13例均可见真皮中下部小汗腺及血管增生,其他改变包括:粘液变性3例,脂肪细胞增生9例,神经纤维增生2例,血管内血栓形成3例,以及含铁血黄素沉积3例。结论 小汗腺血管瘤样错构瘤为一种少见的皮肤良性错构瘤,加强对其临床表现及病理形态学的认识具有重要意义。

关键词: 小汗腺血管瘤样错构瘤, 病理学, 皮肤

Abstract:

Abstract Purpose To study the clinical and pathological features of pediatric eccrine angiomatous hamartoma. Methods The clinical data were collected. The biospy tissues were routinely processed and hematoxylin-exosin staining and immunohistochemistry staining were reviewed microscopically. Results The age of 13 eccrine angiomatous hamartoma was from 2 months to 13 years old (median 5 years old). 7 cases were males and 6 females. 8 cases were congenital lesions. All of 13 cases located in extremities, including 4 cases of finger and palm, 3 foot, 1 arm, 2 knee. All cases occur as macules, plaques or nodules, including 9 cases of single lesion and 4 cases of multiple lesions. Enlargement occurred in All cases and was in concordance with the growth of the patients. The symptoms associated with 13 cases were tenderness (3 cases) and hyperhidrosis (2 cases). Histologically, 13 cases showed increased numbers of eccrine elements and numerous vascular channels in mid to low dermis. Other features included mucin (3 cases), infiltration of adipose tissue (9 cases), nerve hyperplasia (2 cases), thrombosis (3 cases), and hemosiderin (3 cases) as well. Conclusions Eccrine angiomatous hamartoma is an uncommon and benign malformation of skin. It is significant to know its clinical presentation and histopathology.

Key words: Eccrine angiomatous hamartoma, Pathology, Skin