| Title : Case 144 |
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Age / Sex : 53 / F Age / Sex : 53/female 1) What is your impression? Two weeks later, you can see the final diagnosis with a brief discussion of this case. * Send Application Answers to Ja-Young Choi, MD ([email protected]) Courtesy: Jee Young Kim, MD., St. Vincet’s Hospital, The Catholic University of Korea Diagnosis: Papillary endothelial hyperplasia(Masson’s angioma) DiscussionFindings: (a) Sagittal T1WI shows a small ovoid hyposignal intense mass in volar side of subcutaneous fat layer. (b) Fat saturated coronal T2-weighted MR image shows an hypointense soft tissue mass with high signal intense wall. (c) Gadolinium enhanced fat saturated axial T1-weighted image shows thick wall enhancement with central nonenhanced portion in this mass.
Discussion: The pathogenesis of papillary endothelial hyperplasia is an unusual form of thrombus organization, with exuberant endothelial cell proliferation by an autocrine loop of endothelial base fibroblast growth fractor secretion. It is a predilection for the deep dermis and subcutis of the head, neck, fingers, and trunk, as small, firm, superficial nodules imparting a red to blue discoloration of the overlying skin. This is divided into three different types; primary or intravascular form, secondary or mixed form, and extravascular form. |
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| Total Applicants (5) | |
| Correct Answer (1) | |
| 채지원: 보라매병원 | |
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