颈部隆突性皮肤纤维肉瘤1例报告与文献复习

发布时间：2018-12-31 12:02

【摘要】：目的：报告1例少见的颈部隆突性皮肤纤维肉瘤,并复习相关文献,以提高皮肤科临床医师对本病的认识。方法：对该患者的临床病历资料进行分析总结,并结合相关文献讨论其病因、临床特点、组织病理学特征、诊断、鉴别诊断及治疗。结果：该患者以左颈部皮肤凹陷性红斑、结节为主要临床表现,皮损组织病理示典型席纹状、车辐状改变,免疫组化染色：CD34强阳性,vimentin阳性,S-100阴性。临床表现、组织病理与免疫组化改变均与文献报告相符,并与类似疾病进行了鉴别,诊断成立。结论：隆突性皮肤纤维肉瘤易误诊、预后较好、复发率高,诊断有赖于常规组织病理结合免疫组化技术。
[Abstract]:Objective: to report a rare case of cervical Carina dermatofibrosarcoma and review the literature to improve the understanding of dermatologists. Methods: the clinical data of the patient were analyzed and summarized, and the etiology, clinical features, histopathological features, diagnosis, differential diagnosis and treatment were discussed. Results: the main clinical manifestations of the patient were erythema and erythema nodule in the left neck. The pathological changes of the lesions were typical striate and carousel. Immunohistochemical staining showed that CD34 was strongly positive, vimentin was positive, and S-100 was negative. The clinical manifestations, histopathological and immunohistochemical changes were consistent with the literature reports, and similar diseases were differentiated and diagnosed. Conclusion: Carina dermatofibrosarcoma is easy to be misdiagnosed with good prognosis and high recurrence rate. The diagnosis depends on routine histopathology and immunohistochemical technique.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R739.5

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