论文部分内容阅读
患者女,47岁。头顶部淡黄色斑块47年,出现结节6年,糜烂、并增生3年。皮肤科情况:头顶部见一6cm×5cm大小淡黄色斑块,边界清楚,表面光滑,无毛发生长,质软,中央可见1.5cm×2cm大小糜烂面,表面呈肉芽样增生;斑块左后方见一约1cm×2cm大黑褐色结节,表面稍不平,质韧。诊断:皮脂腺痣。分别取头顶部两块皮损活检见:乳头状汗管囊腺瘤、基底细胞癌。皮脂腺痣同时合并乳头状汗管囊腺瘤及基底细胞癌临床罕见。
Patient female, 47 years old. The head of the yellowish patch 47 years, there nodules 6 years, erosion, and hyperplasia 3 years. Dermatology: the top of the head to see a size of 6cm × 5cm light yellow plaque, the border is clear, the surface smooth, no hair growth, soft, the central visible 1.5cm × 2cm size erosion surface, the surface was granulomatous hyperplasia; plaque left rear See a large dark brown nodules about 1cm × 2cm, the surface slightly uneven, quality toughness. Diagnosis: sebaceous gland nevus. Take the top two lesions were biopsy see: papillary cystadenoma, basal cell carcinoma. Sebaceous glands at the same time papillary cystadenoma and basal cell carcinoma clinical rare.