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Intravascular fasciitis involving the external jugular vein and subclavian vein: A case report

BACKGROUND: Intravascular fasciitis (IVF) is a rare nodular fasciitis that often involves the layers and lumens of blood vessels; therefore, it is easily misdiagnosed as a malignant tumor with invasion into blood vessels. CASE SUMMARY: A 13-year-old boy was admitted due to a mass on the left side of...

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Autores principales: Meng, Xiao-Hu, Liu, Yong-Chang, Xie, Le-Si, Huang, Chang-Pin, Xie, Xu-Pin, Fang, Xin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8790447/
https://www.ncbi.nlm.nih.gov/pubmed/35127911
http://dx.doi.org/10.12998/wjcc.v10.i3.985
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author Meng, Xiao-Hu
Liu, Yong-Chang
Xie, Le-Si
Huang, Chang-Pin
Xie, Xu-Pin
Fang, Xin
author_facet Meng, Xiao-Hu
Liu, Yong-Chang
Xie, Le-Si
Huang, Chang-Pin
Xie, Xu-Pin
Fang, Xin
author_sort Meng, Xiao-Hu
collection PubMed
description BACKGROUND: Intravascular fasciitis (IVF) is a rare nodular fasciitis that often involves the layers and lumens of blood vessels; therefore, it is easily misdiagnosed as a malignant tumor with invasion into blood vessels. CASE SUMMARY: A 13-year-old boy was admitted due to a mass on the left side of his neck. Duplex ultrasonography revealed a circular solid hypoechoic mass in the external jugular vein, and magnetic resonance imaging revealed an enhanced longitudinal mass-like lesion in the left supraclavicular fossa. Surgical treatment was arranged and completed, histopathological analysis showed a large amount of spindle cell proliferation, and immunohistochemistry showed that the spindle cells were positive for the expression of vimentin, caldesmon, and smooth muscle actin and negative for the expression of S-100 protein, desmin, CD34, and c-kit; Ki-67 staining revealed a low proliferative index (5%-10%), which confirmed the differentiation characteristics of myofibroblasts. Fluorescence in situ hybridization detected the rearrangement of USP6. IVF was subsequently diagnosed. CONCLUSION: IVF is characterized by intraluminal, intramural and extramural involvement of small to large arteries or veins. Unless the doctor has a deep understanding of the disease or suspects that there is an initial indicator, IVF may be confused with other intravascular malignancies, leading to unnecessary radical surgery. Imaging examination combined with histopathological examination can improve the diagnostic accuracy of this disease.
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spelling pubmed-87904472022-02-03 Intravascular fasciitis involving the external jugular vein and subclavian vein: A case report Meng, Xiao-Hu Liu, Yong-Chang Xie, Le-Si Huang, Chang-Pin Xie, Xu-Pin Fang, Xin World J Clin Cases Case Report BACKGROUND: Intravascular fasciitis (IVF) is a rare nodular fasciitis that often involves the layers and lumens of blood vessels; therefore, it is easily misdiagnosed as a malignant tumor with invasion into blood vessels. CASE SUMMARY: A 13-year-old boy was admitted due to a mass on the left side of his neck. Duplex ultrasonography revealed a circular solid hypoechoic mass in the external jugular vein, and magnetic resonance imaging revealed an enhanced longitudinal mass-like lesion in the left supraclavicular fossa. Surgical treatment was arranged and completed, histopathological analysis showed a large amount of spindle cell proliferation, and immunohistochemistry showed that the spindle cells were positive for the expression of vimentin, caldesmon, and smooth muscle actin and negative for the expression of S-100 protein, desmin, CD34, and c-kit; Ki-67 staining revealed a low proliferative index (5%-10%), which confirmed the differentiation characteristics of myofibroblasts. Fluorescence in situ hybridization detected the rearrangement of USP6. IVF was subsequently diagnosed. CONCLUSION: IVF is characterized by intraluminal, intramural and extramural involvement of small to large arteries or veins. Unless the doctor has a deep understanding of the disease or suspects that there is an initial indicator, IVF may be confused with other intravascular malignancies, leading to unnecessary radical surgery. Imaging examination combined with histopathological examination can improve the diagnostic accuracy of this disease. Baishideng Publishing Group Inc 2022-01-21 2022-01-21 /pmc/articles/PMC8790447/ /pubmed/35127911 http://dx.doi.org/10.12998/wjcc.v10.i3.985 Text en ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
spellingShingle Case Report
Meng, Xiao-Hu
Liu, Yong-Chang
Xie, Le-Si
Huang, Chang-Pin
Xie, Xu-Pin
Fang, Xin
Intravascular fasciitis involving the external jugular vein and subclavian vein: A case report
title Intravascular fasciitis involving the external jugular vein and subclavian vein: A case report
title_full Intravascular fasciitis involving the external jugular vein and subclavian vein: A case report
title_fullStr Intravascular fasciitis involving the external jugular vein and subclavian vein: A case report
title_full_unstemmed Intravascular fasciitis involving the external jugular vein and subclavian vein: A case report
title_short Intravascular fasciitis involving the external jugular vein and subclavian vein: A case report
title_sort intravascular fasciitis involving the external jugular vein and subclavian vein: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8790447/
https://www.ncbi.nlm.nih.gov/pubmed/35127911
http://dx.doi.org/10.12998/wjcc.v10.i3.985
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