A cavernous hemangioma located in the axillary area: Challenges in preoperative diagnosis and operation

Jihye Choi, Chan Sub Park, Joonseog Kong, Hyun-Ah Kim, W. Noh, M. Seong
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引用次数: 2

Abstract

Axillary cavernous hemangiomas are extremely rare benign neoplasms, with only two cases reported in the English literature to date. In the first case, in 1982, a 22-year-old Caucasian woman presented with a large tender mass in the left axilla [1]. Although its exact size was not mentioned, the mass filled the axilla and the lateral thoracic surface of the long thoracic nerve, invading the hemisphere of the left breast. Owing to massive bleeding, surgery was unsuccessful, and the remnant hemangioma was treated by using a carbon dioxide laser. In the second case, in 2008, a 43-year old Brazilian woman presented with an axillary mass and adjacent lymphadenomegaly, raising suspicion of a malignant breast neoplasm [2]. Core needle biopsy was contraindicated owing to the high vascularity of the mass and its proximity to the thoracic wall and axillary vessels. Excisional biopsy, however, was successful since the hemangioma was relatively small (3 cm). A salient point of the 2008 report was that axillary cavernous hemangiomas can mimic malignant cancers. Herein, we describe a surgically treated axillary cavernous hemangioma in a Korean woman and review the pertinent literature. The Institutional Review Board of the Korea Cancer Center Hospital approved the protocol version 1.0 (KIRAMS 2018-03-011).
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腋窝海绵状血管瘤:术前诊断和手术的挑战
腋窝海绵状血管瘤是一种极为罕见的良性肿瘤,目前在英文文献中仅报道2例。第一例病例发生在1982年,一名22岁的白人女性在左腋窝出现一个巨大的压痛肿块[1]。虽然没有提到它的确切大小,但肿块充满了腋窝和胸长神经的胸外侧表面,侵犯了左乳房的半球。由于大量出血,手术失败,使用二氧化碳激光治疗残留的血管瘤。第二例病例发生在2008年,一名43岁的巴西女性表现为腋窝肿块及邻近淋巴结肿大,引起对乳腺恶性肿瘤的怀疑[2]。由于肿块血管密度高且靠近胸壁和腋窝血管,中心针活检是禁忌的。然而,切除活检是成功的,因为血管瘤相对较小(3厘米)。2008年报告的一个重点是腋窝海绵状血管瘤可以模仿恶性癌症。在此,我们描述一个手术治疗腋窝海绵状血管瘤在韩国妇女和回顾相关文献。韩国癌症中心医院机构审查委员会批准了1.0版协议(KIRAMS 2018-03-011)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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