蕈样肉芽肿(granuloma fungoides)又称蕈样霉菌病(mycosis fungoides),是原发于皮肤的一种特殊类型的淋巴瘤。有人亦将其与Se’zary综合征合称为皮肤T细胞淋巴瘤。患者男,24岁。因左小腿巨大复发性肿块二个月入院。患者于半年前发现四肢及胸背部散在红斑鳞屑性斑片,边缘清楚,形态不规则,伴有明显瘙痒。后又发现左小腿前内侧皮下聚集成“白果”大小结节,呈棕褐色。曾在外院按一般肿瘤切除,术后三个月以小腿复发肿块要求治疗。检查:四肢胸背部散在分布棕红色圆 Granuloma fungoides, also known as mycosis fungoides, is a special type of lymphoma that originates in the skin. Some people also referred to it with Se’zary syndrome as cutaneous T-cell lymphoma. Male patient, 24 years old. A huge recurrent mass in the left leg was admitted to the hospital two months later. Six months ago, the patient found scattered erythematous scaly patches on his extremities and chest and back, with clear edges, irregular morphology, and obvious itching. After that, it was found that the anterior medial of the left calf was subcutaneously agglomerated into ginkgo-sized nodules and was brownish-brown. He had been treated as a general tumor in an outside hospital, and he required a treatment for a recurrent tumor in the lower leg three months after surgery. Check: Limbs in the chest and back scattered in a red brown circle