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报告1例皮脂腺痣并发基底细胞癌及管状乳头状大汗腺腺瘤。患者男,43岁。因右侧头部斑块43年就诊。皮肤科检查:右侧头部见淡黄色丘疹、结节及疣状斑块,质软,边界清楚,局部见数个大小不等黑色结节。皮损组织病理检查示(1)切片右侧:表皮角化过度伴角化不全,真皮浅、中层可见大小不等的肿瘤细胞团块,部分和表皮相连,肿瘤细胞团块由基底样细胞组成,肿瘤团块周边细胞呈栅栏状排列并可见收缩间隙;(2)切片左侧:表皮角化过度、棘层肥厚,乳头瘤样增生,真皮浅、中层可见增生的皮脂腺及以淋巴细胞为主的炎性细胞浸润,真皮深层见大汗腺分布,形成较多管腔样结构,管腔内见大汗腺呈乳头状突入管腔。
Report of 1 cases of sebaceous glands complicated by basal cell carcinoma and tubular papillary apocrine adenoma. Male patient, 43 years old. Because of the right head plaque 43 years treatment. Dermatology examination: see the right side of the head see pale yellow papules, nodules and verrucous plaques, soft, clear boundary, see a number of local black nodules ranging in size. Histopathological examination showed (1) the right side of the section: epidermal hyperkeratosis with parakeratosis, the dermis is shallow, the middle can be seen in varying sizes of tumor cell mass, part of the epidermis, the tumor cell mass by basal-like cells , The cells around the tumor mass arranged in the form of palisade and visible shrinkage gap; (2) the left side of the slice: epidermal hyperkeratosis, acanthosis, papillomatous hyperplasia, dermal superficial, hyperplastic middle sebaceous glands and lymphocytes Of the inflammatory cell infiltration, dermal deep see sweat gland distribution, the formation of more lumen-like structure, see the apocrine apocrine papillary cysts into the lumen.