论文部分内容阅读
病例:男,35岁。半年前发现右胸部乳头上外方皮肤出现3×1cm红色索条状物,无不适感。索条缓慢增大、发硬,变为肿块。就诊时红色肿块达儿掌大小。门诊曾先后诊断为组织细胞增生症与硬肿病,治疗无效。体检:一般情况良好。系统检查未见异常。皮肤科情况:右胸部乳头上外方见约8×10cm红斑,微隆起,均匀淡紫红色,有丝状毛细血管扩张,边界不清,表面光滑无鳞屑,中央见一小片外伤愈合后瘢痕。红斑下可触及与红斑大小一致约3cm深的皮下肿块,质地坚实,界清,不分
Case: Male, 35 years old. Six months ago found that the outer skin of the right chest nipples appear 3 × 1cm red cord, no discomfort. Slowly increase the cable, hair hard, into a mass. Red lumps up to the palm size when visiting the doctor. Outpatient clinic has diagnosed as histiocytosis and scleroderma, treatment is invalid. Physical examination: generally good. No abnormal system check. Dermatology: The right chest nipple see about 8 × 10cm on the outside of the erythema, slightly elevated, uniform purple, filarial telangiectasias, the boundary is unclear, the surface smooth and scaly, see a small piece of central wound healing scar. Under the erythema can reach the same size with the erythema about 3cm deep subcutaneous mass, solid, clear, regardless