Venous lake - 静脉湖
主要发生在嘴唇上。
relevance score : -100.0%
ReferencesVenous lake 是嘴唇的老年性血管瘤，通常由扩张的小静脉形成柔软的蓝色肿块。它多为单发，触感不硬，常见于经常暴露在阳光下的面部和耳部。一名 46 岁男子因下唇出现蓝色肿块前来就诊，病灶已生长 8 个月，起初很小，随后逐渐增大。患者否认该部位受过外伤，也未出现无缘无故的出血或轻微外伤后的出血。检查时发现下唇有一柔软、易压的蓝色肿块。医生采用液氮冷冻疗法，每次对病灶冷冻 10 秒，覆盖周围一小块边缘，且每两周重复一次。经过 12 周治疗，病情有所改善。
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.
○ 治疗
虽然可以考虑切除，但多数情况下无需治疗，仅需观察即可。