画像診断にて保存的治療を選択した広範な会陰部血管腫の一例

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  • A Case of Extensive Perineal Hemangioma Treated Conservatively after Radiographic Examinations.

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Extensive Perineal hemangioma is rare. Only one case has been reported in the Japanese literature. We herein report a case of a very extensive perineal hemangioma, which extended from subcutaneous tissue of the penis to the rectal wall in the pelvic cavity.<BR>An 18-year-old man visited our hospital with anal pain, anal bleeding, and remittent fever. Helical CT, MRI, and angiography revealed a very extensive perineal hemangioma in the subcutaneous tissue of the penis, perineoscrotum, submucosa of the anus, rectal wall, and pelvic cavity. Complete excision of the tumor. was considered impossible due to its extensive growth. Other possible treatment modalities ; radiation, laser, compression, cryotherapy, and embolization of the feeding artery, were abandoned as well, due to their incompleteness of treatment. Finally, we selected conservative observation, because his compliant is controllable by maintaining the stool loose and using ointment for his anus. He is enjoying daily life in a university without sufferings from symptoms associated with his perineal hemangioma.

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