11例毛母质瘤误诊为婴幼儿血管瘤的病例回顾分析

目的探索毛母质瘤的临床特征,避免误诊为血管瘤而延误最佳治疗时机。方法对2016—2018年收治的11例毛母质瘤误诊为婴幼儿血管瘤患者的临床资料进行回顾性分析。结果共纳入11例患儿,发病年龄平均11个月(1~34个月),病程平均6.5个月(2~10个月)。均初步诊断为血管瘤,患儿接受血管瘤常规治疗(包括药物外敷、激光照射、口服普萘洛尔片和经皮瘤体内药物注射等)后效果不佳或无效,经手术切除送病理组织学检查结果为毛母质瘤。结论毛母质瘤与婴幼儿血管瘤在发病特点及临床表现存在相似之处,但两者治疗方案不尽相同。应进一步增强对毛母质瘤临床特征的认识,提高诊断的准确率,避免延误治疗。

Retrospective analysis of 11 patients with pilomatricoma misdiagnosed as infantile hemangioma

Objective To explore the clinical features of pilomatricoma,to avoid misdiagnosed as infantile hemangioma and delay the optimal treatment timing.Methods From 2016 to 2018,the clinical data of 11 patients with pilomatricoma misdiagnosed as infantile hemangioma was retrospectively analyzed.Results A total of 11 patients were involved in this study.The age of onset ranged from 1 to 34 months,with an average of 11 months.The duration ranged from 2 to 10 months,with an average of 6.5 months.After initial diagnosis of hemangioma,routine treatment such as external application of drugs,laser irradiation,oral propranolol and percutaneous intratumoral injection of drugs was given to the patients.The therapeutic effect was not good or ineffective.The histopathological examination after surgical resection was pilomatricoma.Conclusion The incidence characteristics and clinical manifestations between pilomatricoma and infantile hemangioma were similar.However,the therapeutic regimen was different.The recognition of clinical features of pilomatricoma should be further enhanced,so as to improve the accuracy of diagnosis and avoid delay the treatment.