A 45-year-old woman presented with a 6-week history of a painless upper-lip lesion. The lesion had rapidly increased in size over the previous 3 weeks and bled when lightly touched. Examination showed an erythematous, round, smooth, pedunculated mass that was friable and non-tender. What is the most likely diagnosis? 患者女,45岁,因上唇无痛性皮损6周就诊。病变在过去3周内迅速增大,轻触时出血。检查见红斑、圆形、光滑、有蒂肿块,质脆,无压痛。最可能的诊断是什么?
A. Arteriovenous malformation 动静脉畸形
B. Cherry hemangioma 樱桃状血管瘤
C. Malignant melanoma 恶性黑色素瘤
D. Pyogenic granuloma 化脓性肉芽肿
E. Strawberry hemangioma 草莓状血管瘤
答案解析:
切除病灶,组织病理学检查显示血管增生、成纤维细胞、大量炎性细胞和表面溃疡,结果与化脓性肉芽肿(也称为小叶毛细血管瘤)一致。在4个月随访时,病变未复发。
正确答案:D
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