论文部分内容阅读
目的探讨面部皮肤结核及其继发的鳞状细胞癌的病因、临床特点及诊治方法。方法对1例面部皮肤结核继发鳞状细胞癌患者的临床资料进行回顾性研究。我们对该患者的病因、临床特点、疾病分型及常规病理检查结果进行分析。结果该患者为女性,今年65岁,其临床表现为:面部有红斑,左面部、双侧颌下区、左耳垂等处出现肿物。对其进行显微镜检查发现:其表皮下真皮层内有大量上皮样肉芽肿性病变,病变深及皮下组织,个别肉芽肿内可见坏死的组织(多为浸润的中性粒细胞),故考虑其患有皮肤增生性结核合并继发的鳞状细胞癌。该患者经治疗后痊愈出院,对其随访1年未见其病情复发。结论皮肤结核病是由于结核杆菌侵犯皮肤所导致的慢性皮肤病,临床上主要依靠病理组织学检查来诊断此病。
Objective To investigate the etiology, clinical features, diagnosis and treatment of facial skin tuberculosis and its subsequent squamous cell carcinoma. Methods A retrospective study was conducted on the clinical data of 1 case of squamous cell carcinoma of the face with secondary cutaneous tuberculosis. We analyzed the etiology, clinical features, disease classification and routine pathological findings of this patient. Results The patient was female, 65 years old this year, the clinical manifestations: erythema on the face, left facial, bilateral submandibular area, left ear lobe, etc. appear at the tumor. The microscopic examination showed that: the epidermal dermis there are a large number of epithelioid granulomatous lesions, lesions and subcutaneous tissue, individual granulomas can be seen necrotic tissue (mostly infiltrating neutrophils), so consider its Squamous cell carcinoma secondary to skin-associated proliferative tuberculosis. The patient was cured after treatment and was discharged. No recurrence of the disease was observed after one year of follow-up. Conclusion Skin TB is a chronic skin disease caused by Mycobacterium tuberculosis infiltrating the skin. Clinically, the disease mainly depends on histopathological examination.