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患者男性,61岁。发现左大腿根部肿块数十年,早期为皮肤粉红色丘疹样结节,近年来逐渐增大,为隆起性暗红色斑块,2 cm×1.3 cm大小表明粗糙。门诊给予手术切除。病理检查巨检:2.5 cm×1.7 cm×1.3 cm带梭型皮肤组织,皮肤上可见2 cm×1.3 cm暗红色结节;切面呈囊性,囊内含乳头状突起。镜检:肿瘤呈囊腔样结构,囊腔内有许多乳头状突起及少许细胞碎片(图1)。囊壁及乳头状突起由两种细胞构成,内层细胞为小立方形,核圆形,胞质较少;靠近囊腔表面的外层细胞呈高柱状,胞质淡红,核卵圆形,可形
Male patient, 61 years old. Found that the root of the left thigh mass for decades, the early pink papular nodules of the skin, gradually increased in recent years, as raised dark red patches, 2 cm × 1.3 cm in size showed rough. Outpatient surgery was performed. Pathological examination of the macroscopic examination: shuttle type skin tissue of 2.5 cm × 1.7 cm × 1.3 cm with 2 cm × 1.3 cm dark red nodules was observed on the skin. The section was cystic and the capsule contained papillae. Microscopic examination: tumor was cystic structure, there are many papillary cysts and a small number of cell debris (Figure 1). The cyst wall and the papillary protrusions are composed of two kinds of cells, the inner cells are small cuboid, the nucleus is round, and the cytoplasm is few; the outer cells near the cyst surface are tall columnar, the cytoplasm is pink, the nucleus oval Can be shaped