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患者,女性,82岁。左侧面部肿物2年余。始如高梁粒大小,略痒,因无其他不适,未予治疗。近两个月来自觉肿物生长迅速,来我院就医,印象:左面颊基底细胞癌。取病理诊断:角化棘皮瘤。遂即做CO_2激光治疗1次,伤口不愈。患者要求手术而收入院。体检:左面颊腮腺嚼肌区可见0.5cm×1cm×2cm隆起性肿物,中央溃烂呈火山口状,其内可见腐败坏死组织,触压渗血边缘结痂,基底较硬。在局麻下行V形切除。再次病理报告:角化棘皮瘤讨论角化棘皮瘤临床较少见,病因尚不明了。好发于身体暴露部位,其典型临床表现为边界清楚的结节状突起,中央凹陷呈火山口样,质地较硬,无浸
Patient, female, 82 years old. The left facial mass was more than 2 years old. Such as high grain size, itching, because no other discomfort, no treatment. In the last two months, the tumors grew rapidly and came to our hospital. Impression: Left cheek basal cell carcinoma. Take pathological diagnosis: keratoacanthoma. I was treated with CO 2 laser once and the wound was not healed. The patient requested surgery and was admitted to the hospital. Physical examination: 0.5cm × 1cm × 2cm bulge in the left cheekbone chewing muscle area. The central ulcer was crater-like. Corruption and necrosis were seen inside. V-shaped ablation under local anesthesia. Pathology report again: keratoacanthoma Discussion of keratoacanthoma is rare in clinical practice, and the cause is unknown. Occurs in the exposed parts of the body, the typical clinical manifestations of nodules with clear boundaries, the central depression is crater-like, texture is hard, no leaching