頁籤選單縮合
題名 | Characteristics of Subcutaneous Angioleiomyoma in a Taiwanese Group--A Retrospective Case Series and Literature Review=臺灣族群皮下血管平滑肌瘤的特性--回溯性病例系列報告及文獻回顧 |
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作者 | 黃惇暐; 戴念梓; 陳錫根; 彭奕仁; 賴重宇; 曾元生; 歐冠伶; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷期 | 28:3 2019.09[民108.09] |
頁次 | 頁203-210 |
分類號 | 416.26 |
關鍵詞 | 皮下血管平滑肌瘤; Subcutaneous angioleiomyoma; Vascular leiomyoma; Angiomyoma; |
語文 | 英文(English) |
中文摘要 | 背景:皮下血管平滑肌瘤為一種從小靜脈的中膜層長出的良性病灶。惡性或是轉移則十分少見。最常見於下肢及女性,並會造成疼痛。但目前沒有針對臺灣族群的相關探討。目的及目標:我們報告了一位皮下血管平滑肌瘤位在罕見位置的病人,並歸納出此腫瘤的特性及治療方式,以及臺灣族群對於此腫瘤表現的不同之處。材料及方法:回溯性的統計從2012年至2017年,共三十七位皮下血管平滑肌瘤在臺灣三軍總醫院經開刀切除的病人。我們也在PubMed上做了英文文章的文獻回顧。結果:在臺灣族群中,性別比例男比女為19比18,幾乎相等。平均年齡為52.5歲。平均腫瘤大小為1.5立方公分。下肢為最常見的腫瘤分佈位置(n=22, 59.5%),超過半數的病人症狀表現是無痛的(n=22, 59.5%)。結論:在臺灣族群裡,皮下血管平滑肌瘤在下肢較為常見,這符合在其他族群中所觀察到的結果。但不同的是其性別分布幾乎相等,且較少有疼痛的情形。我們認為應將血管平滑肌瘤列為皮下腫瘤的鑑別診斷之一,且手術切除對於此腫瘤能有好的治療預後。 |
英文摘要 | Background: Subcutaneous angioleiomyoma is a benign lesion derived from the tunica media of small venous vessels. Malignant or metastasis is rare in these lesions. It most frequently occurs in the lower extremities and females, and usually causes pain. No Taiwanese population has been analyzed to date. Aim and Objectives: Presenting a case of subcutaneous angioleiomyoma in a rare location, and generalized the characteristics and the differences of angioleiomyoma between Taiwanese and other populations. Materials and Methods: Retrospectively reviewed the 37 cases of Taiwanese population with angioleiomyoma undergoing a surgical excision in the Tri-Service General Hospital from 2012 to 2017. We also reviewed the previous literature of angioleiomyoma that was written in English. Results: In Taiwanese populations, the sex distribution was almost equal (M/F is 19/18). The average age was 52.5 years, and the average tumor size was 1.5 cm^3. The lower extremities (n=22, 59.5%) is the most common location. More than half of the tumors were painless (n=22, 59.5%). Conclusion: Subcutaneous angioleiomyoma in the Taiwanese population was more common in the lower extremities, which is comparable with the observation among other populations; However, the difference is that in the Taiwanese population there is an equal sex distribution and less pain. Angioleiomyoma should be included in the differential diagnosis of a subcutaneous mass lesion and can be treated with surgical excision with good prognosis. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。