Venous lake - 静脈湖
主に唇に発生します。
relevance score : -100.0%
ReferencesVenous lake（老人性口唇血管腫）は、拡張した小さな静脈が原因でできる柔らかい青色の隆起です。通常は単独で出現し、触診でも圧痛はありません。顔や耳など、日光にさらされやすい部位に多く見られます。 46歳男性が、8か月前から拡大している下唇の青みがかったしこりを訴えて来院しました。最初は小さく出現し、時間とともに徐々に大きくなったと述べています。周囲に外傷はなく、理由もなく出血したり軽い外傷を受けたこともないとのことです。 診察の結果、下唇に青みがかった隆起が1つ認められました。触診では柔らかく、簡単に圧迫できることが確認されました。医師は液体窒素を用いた凍結療法で治療し、病変とその周囲にわずかなマージンを設けて、1回あたり10秒間凍結しました。この処置を2週間ごとに繰り返しました。 治療開始から12週間後、病変はやや縮小し、色調も改善するなど、一定の効果が認められました。
A venous lake, sometimes referred to as senile hemangioma of the lips is usually a solitary, non-indurated, soft, compressible, blue papule occurring due to dilatation of venules. It is commonly found on sun-exposed surfaces of the face and ears. A 46 year old male patient presented with an 8 month history of a single, painless, bluish swelling over the lower lip which began as a pea sized lesion and gradually increased to the present size. Patient strongly denied any history of trauma at the site. No history of bleeding spontaneously or following minimal trauma could be elicited. On physical examination, a single, violaceous, soft, compressible, non-indurated, non-pulsatile papule was present on the lower lip. Patient was treated with cryotherapy with application of liquid nitrogen by dipstick method with one 10-second freeze-thaw cycle with a 1-mm margin. This was done at biweekly intervals. Some improvement was obtained following 12 weeks of therapy.
A venous lake, sometimes referred to as senile hemangioma of the lips is usually a solitary, non-indurated, soft, compressible, blue papule occurring due to dilatation of venules. It is commonly found on sun-exposed surfaces of the face and ears. A 46 year old male patient presented with an 8 month history of a single, painless, bluish swelling over the lower lip which began as a pea sized lesion and gradually increased to the present size. Patient strongly denied any history of trauma at the site. No history of bleeding spontaneously or following minimal trauma could be elicited. On physical examination, a single, violaceous, soft, compressible, non-indurated, non-pulsatile papule was present on the lower lip. Patient was treated with cryotherapy with application of liquid nitrogen by dipstick method with one 10-second freeze-thaw cycle with a 1-mm margin. This was done at biweekly intervals. Some improvement was obtained following 12 weeks of therapy.
○ 処理
切除が検討されますが、経過観察のみとすることもあります。