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报告1例腮腺巨大复发性多形性腺瘤。患者男,65岁。因右侧面部肿块20年入院,患者10年前曾行手术切除肿瘤,6年后肿瘤复发并增大。皮肤科检查:右侧颊部皮肤凹凸不平,皮肤表面血管扩张,可见一15 cm×9 cm×8 cm肿块,由多个小结节构成,表面光滑,无破溃,质地较硬,触之无痛感。皮损组织病理检查:胶原间可见大量肿瘤细胞,部分呈腺管样排列,肿瘤细胞增生呈小梁状,间质内可见黏液样物质。诊断:腮腺巨大复发性多形性腺瘤。
Report 1 case of parotid gigantic recurrent pleomorphic adenoma. Male patient, 65 years old. Due to the right facial mass 20 years admitted to the hospital, 10 years ago, patients underwent surgical resection of the tumor, 6 years after tumor recurrence and increased. Dermatology examination: the right side of the bump skin uneven, the blood vessels on the surface of the dilated, showing a 15 cm × 9 cm × 8 cm mass, formed by a number of small nodules, the surface smooth, non-rupture, hard texture, touch Painless. Skin lesions histopathological examination: a large number of visible tumor cells between collagens, part of the duct-like arrangement of tumor cell proliferation trabecular like, visible in the interstitial mucus-like substances. Diagnosis: Parotid gigantic recurrent pleomorphic adenoma.