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目的:探讨发生于头颈部的上皮样血管瘤的临床表现、病理特点及诊治情况。方法:分析我院2007-08-2011-09确诊为上皮样血管瘤的6例患者的临床及病理资料、诊治过程及预后情况。结果:6例患者中,男4例,女2例;年龄18～44岁(中位年龄29.5岁)。肿瘤位于腮腺、颈部及耳部,4例以颈部包块为主要表现,均无创伤史。6例患者均采用手术治疗,未辅以药物治疗,随访过程中有4例复发,复发患者中有3例再经手术治疗(其中2例术后行放疗),未见复发。结论:上皮样血管瘤的确诊有赖于结合临床特点、组织病理学及免疫组织化学检查,应特别注意与木村病的鉴别。多采用手术治疗,预后良好,但易复发。
Objective: To investigate the clinical manifestations, pathological features, diagnosis and treatment of epithelioid hemangiomas in the head and neck. Methods: The clinical and pathological data, diagnosis, treatment and prognosis of 6 patients with epithelioid hemangioma diagnosed in our hospital from August 2007 to August 2011 were analyzed. Results: Of the 6 patients, 4 were males and 2 were females; their ages ranged from 18 to 44 years (median 29.5 years). Tumors located in the parotid, neck and ear, 4 cases of the main features of the neck mass, no trauma history. Six patients were treated with surgery, without medication, 4 patients relapsed during follow-up, 3 patients relapsed after surgery (2 cases were treated with radiotherapy), no recurrence. Conclusion: The diagnosis of epithelioid hemangiomas depends on the clinical features, histopathology and immunohistochemistry. Special attention should be paid to the identification of Kimura disease. Use more surgery, the prognosis is good, but easy to relapse.