皮脂腺痣并发基底细胞癌及管状乳头状大汗腺腺瘤
发布时间：2019-02-15 07:22
【摘要】：报告1例皮脂腺痣并发基底细胞癌及管状乳头状大汗腺腺瘤。患者男,43岁。因右侧头部斑块43年就诊。皮肤科检查:右侧头部见淡黄色丘疹、结节及疣状斑块,质软,边界清楚,局部见数个大小不等黑色结节。皮损组织病理检查示(1)切片右侧:表皮角化过度伴角化不全,真皮浅、中层可见大小不等的肿瘤细胞团块,部分和表皮相连,肿瘤细胞团块由基底样细胞组成,肿瘤团块周边细胞呈栅栏状排列并可见收缩间隙;(2)切片左侧:表皮角化过度、棘层肥厚,乳头瘤样增生,真皮浅、中层可见增生的皮脂腺及以淋巴细胞为主的炎性细胞浸润,真皮深层见大汗腺分布,形成较多管腔样结构,管腔内见大汗腺呈乳头状突入管腔。
[Abstract]:A case of sebaceous nevus complicated with basal cell carcinoma and tubular papillary sweat gland adenoma was reported. The patient was 43 years old. He was treated for 43 years because of plaque on the right side of the head. Dermatology examination: right head light yellow papules, nodules and verrucous plaques, soft, clear border, several local black nodules of varying sizes. Histopathological examination of the lesions showed that (1) on the right side of the section: the keratosis of the epidermis was hyperkeratosis with hypokeratosis, the dermis was shallow, and the tumor cell mass of different sizes was seen in the middle layer, some of which were connected with the epidermis, and the tumor cell mass was composed of basal cells. The peripheral cells of the tumor mass were arranged in a palisade shape and the contraction space could be seen. (2) on the left side of the section: hyperkeratosis of the epidermis, hypertrophy of the spinous layer, papillomatous hyperplasia, superficial dermis, hyperplastic sebaceous glands and inflammatory cell infiltration mainly with lymphocytes were seen in the middle layer of the dermis, and the hypersweat glands were found in the deep layer of the dermis. Many lumen-like structures were formed in which the sweat glands appeared papillary protrusions into the lumen.
【作者单位】： 赣南医学院第一附属医院皮肤科;
【分类号】：R739.5
本文编号：2423098
[Abstract]:A case of sebaceous nevus complicated with basal cell carcinoma and tubular papillary sweat gland adenoma was reported. The patient was 43 years old. He was treated for 43 years because of plaque on the right side of the head. Dermatology examination: right head light yellow papules, nodules and verrucous plaques, soft, clear border, several local black nodules of varying sizes. Histopathological examination of the lesions showed that (1) on the right side of the section: the keratosis of the epidermis was hyperkeratosis with hypokeratosis, the dermis was shallow, and the tumor cell mass of different sizes was seen in the middle layer, some of which were connected with the epidermis, and the tumor cell mass was composed of basal cells. The peripheral cells of the tumor mass were arranged in a palisade shape and the contraction space could be seen. (2) on the left side of the section: hyperkeratosis of the epidermis, hypertrophy of the spinous layer, papillomatous hyperplasia, superficial dermis, hyperplastic sebaceous glands and inflammatory cell infiltration mainly with lymphocytes were seen in the middle layer of the dermis, and the hypersweat glands were found in the deep layer of the dermis. Many lumen-like structures were formed in which the sweat glands appeared papillary protrusions into the lumen.
【作者单位】： 赣南医学院第一附属医院皮肤科;
【分类号】：R739.5
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