전초정맥에 발생한 정맥관 내 화농성 육아종: 증례보고

Intravenous Pyogenic Granuloma in Sentinel Vein: A Case Report

  • 홍기용 (서울대학교 의과대학 성형외과학교실) ;
  • 정의철 (서울대학교 의과대학 성형외과학교실) ;
  • 민향화 (서울대학교 의과대학 성형외과학교실) ;
  • 민경원 (서울대학교 의과대학 성형외과학교실) ;
  • 이영직 (순천 성가롤로병원 병리과)
  • Hong, Ki Yong (Department of Plastic and Reconstructive Surgery, Research Institue of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Jeong, Eui Cheol (Department of Plastic and Reconstructive Surgery, Research Institue of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Min, Xianghua (Department of Plastic and Reconstructive Surgery, Research Institue of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Minn, Kyung Won (Department of Plastic and Reconstructive Surgery, Research Institue of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Lee, Young Jik (Department of Pathology, Suncheon St. Carollo Hospital)
  • 투고 : 2009.11.19
  • 심사 : 2010.03.05
  • 발행 : 2010.04.10

초록

Purpose: Lobular capillary hemangioma is a vascular tumor that commonly occurs as a cutaneous lesion. Intravenous pyogenic granuloma is a rare form of lobular capillary hemangioma that usually occurs in the veins of the neck and the upper extremities. Methods: A 41-year-old man presented with 3 months history of nodules on the left temporal area and these lesions were clinically mistaken for a typical lipoma or epidermal cyst, but the nodules appeared unusually vascular with sentinel veins on excision. Results: On the histopathologic examination, the excised tissue was observed as an intraluminal polypoid mass, which was attached to the vein via a fibrovascular stalk and capillaries in a loose edematous fibromyxoid stroma, and so the lesions were confirmed to be intravenous pyogenic granuloma. At 6 months after excision, there has been no recurrence and the patient is asymptomatic. Conclusion: Intravenous pyogenic granuloma is a rare variant of lobular capillary hemangioma. This article describes the surgical and histopathological findings of treating pyrogenic granuloma.

키워드

참고문헌

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