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目的:分析总结乳头状汗管囊腺瘤的临床表现及组织病理特点。方法:回顾性分析我科诊断的48例乳头状汗管囊腺瘤患者临床表现和组织病理资料。结果:48例患者中,男26例,女22例,在出生时和婴幼儿发病者38例(79%),分布于头部者34例(71%)。皮损多表现为缓慢增大的单发丘疹、结节或斑块等多形性损害。组织病理表现为表皮向下凹陷形成囊状腔,囊状腔下部可见乳头状突起伸入囊腔,凹陷的囊状腔上部衬以鳞状上皮细胞,囊状腔下部及乳头状突起衬以腺上皮细胞。18例患者同时并发有皮脂腺痣表现。结论:该病出生时及婴幼儿好发,多分布于头部,组织病理学有表皮向下凹陷形成囊状腔及囊状腔下部乳头状突起伸入囊腔的特征性表现。临床表现多样,易和皮脂腺痣并发。
Objective: To summarize the clinical manifestations and histopathological features of papillary cystadenoma. Methods: The clinical manifestations and histopathological data of 48 patients with papillary cystadenoma diagnosed by our department were retrospectively analyzed. Results: Of the 48 patients, 26 were males and 22 were females, with 38 (79%) at birth and infants and toddlers, and 34 (71%) in the head. Lesions showed more slowly increased single papules, nodules or plaque and other pleomorphic damage. Histopathology manifested as the epidermis down to form a cystic cavity, the cystic cavity visible papillae protruding into the cyst cavity, the hollow cystic cavity lined with squamous epithelial cells, the lower part of the cystic cavity and papillary protrusions gland Epithelial Cells. Eighteen patients concurrent with sebaceous gland nevus performance. CONCLUSIONS: At onset of the disease and in infants and young children, it is predilectionally distributed in the head. Histopathology is characterized by downward depression of the epidermis to form the cystic cavity and the papillary protrusion of the cystic cavity into the cyst cavity. Various clinical manifestations, easy and sebaceous gland nevus complicated.