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目的:对小汗腺螺旋腺瘤病理形态特点、诊断和鉴别诊断、治疗及预后等进行讨论。方法:标本采用石蜡切片,HE染色。结果:患者男性3例,女性2例,发病年龄29岁-61岁,平均年龄45岁,5例肿瘤均表现为皮下结节伴疼痛,结节大小0.5-1.5cm。镜下见瘤细胞主要由两种类型细胞构成:一种细胞核大,淡染,位于瘤细胞团中央;另一种细胞核小,深染,呈基底样细胞,排列在细胞索周边。5例中2例随访2-3年,2例随访半年,均无复发。结论:小汗腺螺旋腺瘤可见于全身各处皮下,常为单发性,伴疼痛。肿瘤多为良性,恶性少见。
Objective: To discuss the pathomorphological features, diagnosis and differential diagnosis, treatment and prognosis of the small-scaly adenomatous adenoma. Methods: The specimens were paraffin-embedded and HE stained. Results: There were 3 males and 2 females, with a mean age of 45 years. The age of onset was 29 years old and 61 years old. All the 5 cases showed subcutaneous nodules with pain and nodule size of 0.5-1.5 cm. Microscopically see the tumor cells are mainly composed of two types of cells: a large nucleus, lightly stained, located in the center of the tumor cell mass; the other small nuclei, stained, basal-like cells arranged in the periphery of the cell cord. Two of the five cases were followed up for 2-3 years and two cases were followed up for six months without recurrence. Conclusion: Small sweat gland adenoma can be found throughout the body of subcutaneous, often solitary, with pain. Mostly benign tumors, malignant rare.