获得性外阴淋巴管瘤

发布时间：2018-03-13 22:17

本文选题：淋巴管瘤　切入点：获得性　出处：《临床皮肤科杂志》2015年09期 　论文类型：期刊论文

【摘要】：正患者女,60岁。主诉:下肢肿胀3年,外阴多发丘疹1年。现病史:患者3年前无明显诱因出现双下肢肿胀,晨轻暮重,后肿胀加剧,并出现双下肢增粗及外阴肿胀。1年前发现外阴数个绿豆大丘疹,偶感瘙痒、疼痛,数量逐渐增多至布满整个外阴。为进一步诊治于2014年4月22日来我院就诊。既往史:5年前确诊子宫内膜癌,行子宫切除术,术后行放疗及化疗。家族史:家族中无类似疾病患者及其他遗传病史。体格检查:一般情况好,系统检查无异常。皮肤科检查:双下肢对称性增粗,有非凹陷性水肿,会阴部弥漫性肿胀,其上密集分布直径0.2~1.0 cm肤色圆形丘疹,触之较硬,部分呈半透明状(图1),表面无角化、渗出和出血。皮损组织病理检查:表皮大致正常,真皮浅层可见扩张的淋巴管(图2)。
[Abstract]:The patient is 60 years old. The main complaint: lower limb swelling for 3 years, vulva multiple papules for 1 year. A year ago it was found that the vulva had several large papules of mung bean, occasionally pruritus and pain. The number gradually increased to cover the whole vulva. In order to further diagnosis and treatment, we came to our hospital in April 22nd 2014. Past history: diagnosed five years ago, hysterectomy, Postoperative radiotherapy and chemotherapy. Family history: no similar diseases in the family and other hereditary disease history. Physical examination: general good, no abnormal system. Dermatology examination: bilateral lower limbs symmetry thickening, there is non-concave edema, Diffuse swelling of the perineum with a dense distribution of 0.21.0 cm in diameter on the upper part of the pimples, hard to touch and partially translucent (Fig. 1, without keratinization, exudation and bleeding. Histopathological examination of the lesions: the epidermis is generally normal. Dilated lymphatics can be seen in the superficial dermis (Fig. 2).
【作者单位】：北京医院皮肤科;
【分类号】：R737.35

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