외경정맥에 발생한 정맥 내 화농성 육아종 1예
A Case of Intravenous Pyogenic Granuloma Originating in the External Jugular Vein
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Intravenous pyogenic granuloma (IVPG), also known as intravenous lobular capillary hemangioma,is an extremely rare form of vascular tumor which derives from the lumen of a vein ofthe head and neck and upper extremities. The treatment of choice is complete local excision ofa small portion of the vein. Since first report in 1979, IVPG has been reported in no more than60 reports abroad. To our knowledge, IVPG originating in the external jugular vein has neverbeen reported in Korea but has important clinical implication. Accurate preoperative diagnosisof neck mass originating in jugular vein is important to plan operative procedures to avoidvascular injury, excessive bleeding, or incomplete excision. Preoperative radiologic examinationssuch as ultrasonography, computed tomography are useful as first-line diagnostic toolsfor differential diagnosis of movable neck mass. With a review of literature, the author reportsa case of IVPG arising from the left external jugular vein in a 31-year-old male who complainedabout a palpable neck mass. This patient was successfully managed by ligation and excision ofthe vein without any complication and no recurrence was found after 6 months.
Abstract
Intravenous pyogenic granuloma (IVPG), also known as intravenous lobular capillary hemangioma,is an extremely rare form of vascular tumor which derives from the lumen of a vein ofthe head and neck and upper extremities. The treatment of choice is complete local excision ofa small portion of the vein. Since first report in 1979, IVPG has been reported in no more than60 reports abroad. To our knowledge, IVPG originating in the external jugular vein has neverbeen reported in Korea but has important clinical implication. Accurate preoperative diagnosisof neck mass originating in jugular vein is important to plan operative procedures to avoidvascular injury, excessive bleeding, or incomplete excision. Preoperative radiologic examinationssuch as ultrasonography, computed tomography are useful as first-line diagnostic toolsfor differential diagnosis of movable neck mass. With a review of literature, the author reportsa case of IVPG arising from the left external jugular vein in a 31-year-old male who complainedabout a palpable neck mass. This patient was successfully managed by ligation and excision ofthe vein without any complication and no recurrence was found after 6 months.
참고문헌 (22)
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