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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 patients with sermn hemangiomas. Methods The clinical and histopathological characteristics of 19 patients with clinically diagnosed hemangiomas were retrospectively analyzed. Results Serous hemangiomas occurred in young patients under 20 years of age, the skin lesions and more manifested as limbs red or dark red spots, and some may be integrated. Histopathology showed dermal superficial and dermal papillary telangiectasia, vascular endothelial cell proliferation can be seen. No inflammatory cell infiltration and erythrocyte spillover. Conclusions Serous hemangiomas are mainly characterized by multiple red spots, clusters or small patches of needle size. Histopathology is mainly manifested as vasodilation, endothelial cell proliferation can sometimes be seen, the lack of specificity. Therefore, the need for clinical and histopathological comprehensive analysis to make a diagnosis.