论文部分内容阅读
例1.女,32岁,于生后3个月在右足背初发肿物,曾反复切除,但均在损害附近复发。无家族史。检查发现右足背及第3～5趾背有多发性结节,轻度疼痛。X线示右足软组织有多发性钙化,血管造影示脉管性肿瘤,由足背动脉、胫骨后动脉和外侧跖动脉的分枝形成。光镜示结节有两种成分即衬以内皮细胞的海绵状血管间隙,隙间有聚集的梭形细胞。损害位于真皮及皮下组织,有些病变境界清楚,绕以厚的结缔组织,内含大的静脉石,极少梭形细胞增生。另有些缺乏
Example 1. Female, 32 years old, developed a mass on the right foot 3 months after birth and had repeated resections, but all recurred near the lesion. No family history. Examination revealed multiple nodules and mild pain in the right dorsal and third to fifth toe. X-rays indicate multiple calcifications of the right foot soft tissue. Angiography shows a vascular tumor, which is formed by branches of the dorsal foot artery, posterior tibial artery, and lateral iliac artery. Light microscopy showed nodules with two components, the cavernous vascular space lined with endothelial cells, and aggregated spindle cells between the spaces. The lesions are located in the dermis and subcutaneous tissue. Some of the lesions are of clear borders. The thick connective tissue is surrounded by large venules and the proliferation of spindle cells is minimal. Some lack some