상지에 발생한 혈관종의 양상과 치료결과

Abstract

Purpose : To investigate the characteristics and treatment results of the hemangioma in upper extremity, we analysed the hemangioma in upper extremity. Materials and Methods : We retrospectively analysed 24 patients who have taken operative treatment for hemangioma of upper extremity from 1993 to 2000, and they were confirmed clinicopathologically. The patients were followed up by outpatient clinic and the follow up period was 12 months to 48 months. Female patients were predominant(17 cases). The age of initial visit to our hospital varied from 7 to 64 years old with the average of 32 years old. The most common symptom was palpable mass in 20 cases. Also, 5 patients visited our clinic due to recurrence. The sites of involvement were hand and wrist area in 8 cases, finger in 7 cases, forearm in 7 cases, upper arm in 1 case, and shoulder in 1 case. Results : The treatments were marginal resection in 21 cases, amputation in 2 cases, and embolization in 1 case. Partial resection was performed to preserve the function of hand. Recurrence was developed in 1 case in the finger area. Cavernous hemangioma was the most common(9 cases). Conclusion : We conclude that for the primary surgery of hemangioma the treatment of choice is complete marginal resection, preserving the affected area’s function to the fullest. This is the only way to prevent recurrence.