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題名 | 嬰兒型多發性肌纖維瘤=Infantile Myofibromatosis |
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作者 | 廖苑利; 邱顯清; 吳君泰; 黃秀芬; | 書刊名 | 中華皮膚科醫學雜誌 |
卷期 | 17:4 1999.12[民88.12] |
頁次 | 頁343-349 |
分類號 | 415.78 |
關鍵詞 | 肌纖維瘤; Infantile myofibromatosis; Hemangiopericytoma; |
語文 | 中文(Chinese) |
中文摘要 | 一個二月大女嬰自出生起即被發現在其右膝有一花生米粒大小之暗紅色結節,且 在其右肩有一 2 X 2 公分大小之白色硬塊,此硬塊表面有血管擴張現象。稍後,其家人在 其後腦枕部發現一鮭肉色斑,在此鮭肉色斑下方有一約 2.5 X 1.5 公分不規則形狀之硬塊 。理學檢查時,另在右側顳部頭皮及左前臂各發現一個花生米粒大小之皮下腫塊。 從右膝結節做切片檢查發現為一血管周皮細胞瘤,從右肩硬塊做切片顯示為一肌纖維瘤。核 磁共振掃描結果顯示尚有多個皮下腫瘤及骨內病灶存在。這些病灶在顯影後皆證實為血管性 組織,符合多發性向管瘤或多發性向管周皮細胞瘤之診斷。檢查結果並沒有發現顱內或胸腔 內病灶。綜上結果,我們診斷此為嬰兒型多發性肌纖維瘤之病例,而其多發性血管周皮細胞 瘤可能為此症狀早期變化或分化未成熟之表現。 |
英文摘要 | A 2-month-old girl had been noted with a pea-sized, dusky red nodule on her right knee and a 2 X 2 cm sized adherent whitish plaque with superficial telangiectasia on her right shoulder since birth. Later, a 1.5 X 2.5 cm fixed indurated plaque was found under a salmon patch on the occipital scalp. After thorough physical examination, two additional subcutaneous masses, both around pea-sized, were found oon the right temporal scalp and left forearm, respectively. The initial pathologic evaluation of the nodule on the right knee revealed hemangiopericytoma, but the later biopsy of the plaque on her shoulder showed myofibroma. MRI study revealed multiple additional subcutaneous soft tissue masses and intraosseous lesions. after enhancement, all these lesions were compatible with the diagnosis of hemangiomatosis or hemangiopericytomatosis. There was no intrathoracic nor intracranial lesion. We diagnosed the case as infantile myofibromatosis. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。