摘要
化脓性肉芽肿是一种良性、后天性以结节状血管增生、轻度外伤即易出血为主要临床表现的血管性肿瘤,并非真性肿瘤。临床上可通过询问病史、临床表现,以及皮肤镜和组织病理学检查等辅助手段进行进一步确诊。由于其临床表现为鲜红色或棕红色丘疹损害,易与一些血管性及肿瘤性的皮肤病混淆,在临床医生对该病的鉴别诊断经验不足的情况下,容易造成误诊。自1992—2021年发表在中文学术期刊的化脓性肉芽肿误诊文献18篇,累计误诊病例34例,误诊病种10余种,其中较多误诊为真性血管瘤、基底细胞癌、无色素性黑色素瘤、小汗腺汗孔瘤、坏疽病、寻常疣、透明细胞棘皮瘤等。为减少今后临床医生对化脓性肉芽肿的误诊,应进一步加强对其临床表现的认识及必要辅助检查的运用,避免误诊误治给患者带来的病痛。
Pyogenic granuloma is a benign,acquired vascular tumor with nodular vascular hyperplasia,mild trauma,and easy bleeding as the main clinical manifestations.It is not a true tumor,and can be further diagnosed clinically by asking medical history,clinical manifestations,dermoscopy and histopathological examination and other auxiliary means.Due to its clinical manifestations of bright red or brown-red papular lesions,it is easy to be confused with some vascular and neoplastic skin diseases,and it is easy to be misdiagnosed when clinicians are inexperienced in the diagnosis of this disease.From 1992 to 2021,18 misdiagnosis literatures of pyogenic granuloma were published in Chinese academic journals,with a total of 34 cases and more than 10 misdiagnosed diseases;many of them were misdiagnosed as true hemangioma,basal cell carcinoma,non-pigmented melanoma,eccrine poroma,gangrene,common wart,clear cell acanthoderma,etc.In order to reduce the misdiagnosis of pyogenic granuloma by clinicians in the future,we should further strengthen the understanding of its clinical manifestations and the use of necessary auxiliary examinations,so as to avoid the pain caused by misdiagnosis and mistreatment.
作者
刘悦
Liu Yue(Department of Dermatology,Tianjin Women and Children's Health Care Center,Tianjin 300070,China)
出处
《国际医药卫生导报》
2022年第1期140-144,共5页
International Medicine and Health Guidance News
关键词
化脓性肉芽肿
误诊
鉴别诊断
Pyogenic granuloma
Misdiagnosis
Differential diagnosis
