论文部分内容阅读
患者女性,61岁。双下肢反复出现红斑、丘疹30余年,可自行消退,近1个月右小腿外踝上方出现无痛性肿块。查体:双下肢散在孤立红斑、丘疹,皮损大小不等,中央坏死结痂,愈后留有色素沉着和瘢痕;右小腿外踝上方见黄豆大灰红色隆起肿块,表面破溃结痂呈淡黄色(图1)。术后病理诊断:皮肤间变性大细胞淋巴瘤。追问病史,患者曾于2006年11月在我院行丘疹活检术,经中国医学科学院皮肤病医院会诊诊断为淋巴瘤样丘疹病,此后未予特殊处理。
Patient female, 61 years old. Repeated erythema on both lower extremities, pimples for more than 30 years, may subside on their own, nearly 1 month above the right lower leg lateral malleolus appeared painless mass. Physical examination: isolated lower extremity scattered erythema, papules, skin lesions ranging in size, the central necrosis scab, leaving more pigmentation and scarring; right lower leg lateral malleolus above the big gray red swelling mass, the surface ulceration scab was pale Yellow (Figure 1). Postoperative pathological diagnosis: skin degeneration large cell lymphoma. Asked history, the patient was in November 2006 in our hospital pimple biopsy, the Chinese Academy of Medical Sciences dermatology hospital consultation diagnosis of lymphoid papulosis, and since then no special treatment.