患者女,33岁。右耳及耳前出现结节并进行性增大13年,于2015年3月16日来我院就诊。患者13年前右耳打耳洞后耳垂出现黄豆大红色结节,于当地医院诊断为瘢痕疙瘩,行手术切除,切除后该部位再次出现结节,偶有瘙痒,未予诊治,结节逐渐增大,延至外耳道及耳前,因皮损无明显不适,从未正规诊治。发病以来无午后发热、盗汗及乏力,无咳嗽咳痰,否认结核病史,家族成员中无类似病史患者。体格检查:系统检查无异常,浅表淋巴结未触及增大。皮肤 Female patient, 33 years old. Nodules appear on the right ear and ear and are progressively increased for 13 years. They came to our hospital on March 16, 2015. 13 years ago, the right ear ear hole after the big red nodules appeared in the ear, the local hospital for the diagnosis of keloids, surgical resection, resection of the site after the recurrence of nodules, occasional itching, no diagnosis and treatment, nodules gradually Increased, extended to the external auditory meatus and ear, because no significant discomfort, never formal diagnosis and treatment. No onset of fever since the onset, night sweats and fatigue, no cough and sputum, denied a history of tuberculosis, family members no similar history of patients. Physical examination: no abnormalities in the system examination, no increase in superficial lymph nodes. skin