乳头状汗管囊腺瘤48例临床和组织病理分析

发布时间：2019-05-29 10:54

【摘要】：目的:分析总结乳头状汗管囊腺瘤的临床表现及组织病理特点。方法:回顾性分析我科诊断的48例乳头状汗管囊腺瘤患者临床表现和组织病理资料。结果:48例患者中,男26例,女22例,在出生时和婴幼儿发病者38例(79%),分布于头部者34例(71%)。皮损多表现为缓慢增大的单发丘疹、结节或斑块等多形性损害。组织病理表现为表皮向下凹陷形成囊状腔,囊状腔下部可见乳头状突起伸入囊腔,凹陷的囊状腔上部衬以鳞状上皮细胞,囊状腔下部及乳头状突起衬以腺上皮细胞。18例患者同时并发有皮脂腺痣表现。结论:该病出生时及婴幼儿好发,多分布于头部,组织病理学有表皮向下凹陷形成囊状腔及囊状腔下部乳头状突起伸入囊腔的特征性表现。临床表现多样,易和皮脂腺痣并发。
[Abstract]:Objective: to analyze and summarize the clinical and pathological features of papillae perspiration cystadenoma. Methods: the clinical manifestations and histologic data of 48 patients with papillary perspiration cystadenoma diagnosed in our department were analyzed retrospectively. Results: there were 26 males and 22 females, 38 cases (79%) were born and infants, 34 cases (71%) were distributed in the head. Most of the lesions were pleomorphic lesions such as slow enlargement of single papules, nodules or plaques. The histology showed that the epidermis was depressed downward to form a saccular cavity, and papillae protruding into the saccular cavity could be seen in the lower part of the saccular cavity, and the upper part of the saccular cavity was lined with scaly epithelial cells. Gland epithelial cells were lined in the lower part of the saccular cavity and papilla processes. 18 patients were complicated with sebaceous nevi at the same time. Conclusion: the disease is more common at birth and in infants and young children, and most of them are distributed in the head. The histology has the characteristic features that the epidermis is depressed to form the saccular cavity and the papillae protruding into the saccular cavity at the lower part of the saccular cavity. The clinical manifestations are diverse and easy to be complicated with sebaceous nevi.
【作者单位】：第四军医大学西京皮肤医院;
【分类号】：R739.5

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