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患者男,34岁。主诉:阴茎皮下结节2年余。现病史:患者2年前行包皮环切术后出现阴茎皮下结节,触之疼痛,偶有瘙痒,包皮表面无明显异常改变,结节逐渐增大,未予特殊治疗。既往史、个人史、家族史:无特殊。体格检查:一般情况可,各系统检查无异常。皮肤科检查:阴茎皮下可触及单个结节,约黄豆大,质地稍硬,边界清楚,可移动,压痛明显,表面未见破溃、渗出(图1)。皮损组织病理检查:真皮可见不规则杂乱排列增生的梭形细胞束,大小形态不一,包埋于纤维性间质内(图
Patient male, 34 years old. Chief complaint: penile subcutaneous nodules more than 2 years. Current history: The patient 2 years ago after the circumcision penis subcutaneous nodules, touch the pain, occasionally itching, no significant abnormal changes in the surface of the foreskin, nodules gradually increased, no special treatment. Past history, personal history, family history: no special. Physical examination: the general situation can be, the system check no abnormalities. Dermatology examination: the penis can reach a single nodule subcutaneous, about soybeans, slightly harder texture, clear boundaries, removable, tenderness was obvious, the surface no rupture, exudation (Figure 1). Skin lesions histopathological examination: irregularly arranged in the dermis hyperplasia of spindle cell bundles, the size of different shapes, embedded in the fibrous interstitial (Figure