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1临床资料患者女,20岁。因“尿道口赘生物十余年,疼痛半月余”入院。患者10年前发现尿道口赘生物,无自觉症状,遂观察未予特殊处理。近半月觉疼痛明显,来本院就诊。患者近期体重无明显减轻,既往体健,否认内脏肿瘤史,否认家族中有类似病史者。系统检查未及明显异常,浅表淋巴结未及肿大。皮肤科情况:尿道口见一绿豆大小丘疹,色红,质软,触痛明显(图1)。皮损组织病理示:棘层稍肥厚,未见角质层。真皮内大量扩张充血的毛细血管,可见大量淋巴细胞及浆细胞浸润,可见一淋巴滤泡(图2)。诊断:尿道肉阜。本例患者皮损较小,故予手术切除。2讨论
1 clinical data patient female, 20 years old. Because of “urethra vegetation more than ten years, more than half of pain ” admission. 10 years ago, patients found urethral neoplasms, no symptoms, then observed no special treatment. Nearly half of the month to feel pain, to hospital treatment. No significant weight loss in recent patients with previous physical health, denied the history of visceral tumors, deny the family history of similar. The system was not as obvious as abnormal examination, superficial lymph nodes did not enlarge. Dermatology: urethral mouth see a mung bean size papules, color red, soft, tenderness significantly (Figure 1). Histopathological lesions showed: acanthosis a little hypertrophy, no cuticle. Dermal expansion of a large number of capillaries, showing a large number of lymphocytes and plasma cells infiltration, showing a lymphoid follicles (Figure 2). Diagnosis: urethral caruncle. Lesions in patients with smaller cases, so to surgery. 2 discussions