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小儿恶性血管瘤较为少见,我院自1980年～1990年间收治五例,现报告如下: 临床资料男4例,女1例。年龄2个月～7岁。肿瘤部位:背部3例,胸壁1例,腋窝1例。全部作手术切除送病理检查。病理报告:血管内皮瘤3例.血管外皮瘤1例,血管内瘤1例。全组术后均未作放疗或化疗,其中3例随访4～6年,无复发. 讨论恶性血管瘤在血管瘤中比较少见。我院收治98例小儿血管瘤,恶性占5例(约5.1％).高于文献报道。本病术前诊断不易,往往误诊为良性而采取错误治疗,以至延误病情或手术不彻底,造成肿
Malignant hemangioma in children is relatively rare, our hospital from 1980 to 1990 admitted to five cases, are as follows: Clinical data of 4 males and 1 female. Age 2 months to 7 years old. Tumor site: 3 cases of back, 1 case of chest wall, 1 case of armpit. All for surgical removal sent to pathological examination. Pathology report: 3 cases of vascular endothelioma, 1 case of hemangiopericytoma and 1 case of endovascular tumor. All the patients had no radiotherapy or chemotherapy after operation, of which 3 cases were followed up for 4 to 6 years without recurrence.Discussion Malignant hemangiomas are relatively rare in hemangiomas. 98 cases of pediatric hemangiomas were treated in our hospital, and 5 cases were malignant (about 5.1%), which was higher than that reported in the literature. The preoperative diagnosis is not easy, often misdiagnosed as benign and take the wrong treatment, and even delay the disease or surgery is not complete, causing swollen