论文部分内容阅读
作者报告一例斑块型汗管瘤。患者29岁,家庭妇女,体健,从20岁时右颈侧有无症状的棕色斑块,22岁时在其他医院曾作活检,无明确结论。在26岁左右,于斑块的下方出现几个肤色的丘疹,由于皮损有增大趋势和美容关系,而来就诊。检查时见有棕色、轻度隆起苔癣样斑块沿下颌骨平行排列。眼睑有几个小的相同性质的斑块。两侧胸部有孤立的丘疹。组织学检查:棘层肥厚,基底层黑素颗粒增加。有汗管瘤的典型纤维上皮瘤样“岛”。有许多细胞条索和囊肿,细胞的排列相似于正常汗管的排列。一些囊肿有耐淀粉酶的PAS阳性物质。有蝌蚪形或
The authors report a case of plaque syringoma. The patient was 29 years old and was a family member. She was physically fit. She had asymptomatic brown plaques on the right cervical side from the age of 20 and biopsies at other hospitals at the age of 22. There was no definite conclusion. At the age of 26, several skin-colored papules appeared below the plaque, and the patient came to the clinic because of a tendency of increased skin lesions and a cosmetic relationship. When examined, brownish, mildly elevated moss-like plaques were seen parallel along the mandible. There are several small patches of the same nature in the eyelids. There are isolated pimples on both sides of the chest. Histological examination: spinous hypertrophy, basement melanin particles increased. There is a typical fibroepithelial “island” of syringomas. There are many cell lines and cysts, and the arrangement of cells is similar to the arrangement of normal sweat ducts. Some cysts have PAS-positive substances that are resistant to amylase. Have a shape or