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患者女性,34岁。因左乳头有一逐渐增大的赘生物23年而来院就诊。检查:全身情况良好,于左乳头生长-10cm之菜花样肿物,有一细蒂与乳头相连,表面有陈旧性出血,颜色污秽,并有臭味。临床拟诊为菜花状乳头状瘤,在局麻下行肿瘤切除。病理检查:送检标本为11.5×8.0×6.0cm之菜花状肿物,有一直径0.5cm,长径1.0cm之蒂。肿物表面灰白色,有破溃并坏死。切面灰白色编织状,有光泽、质韧。镜检:构成肿瘤的菜花状小乳头及中央部均由成熟的纤维组织构成,表面被以鳞状上皮,并可见炎细胞浸润。胶原纤维丰富呈编织
Female patient, 34 years old. There was a gradually enlarged neoplasm from the left nipple and she came to the hospital for 23 years. Examination: The whole body is in good condition. A cauliflower-like mass with a -10 cm growth in the left nipple is connected to the nipple. There is old bleeding on the surface, the color is contaminated, and there is an odor. Clinically diagnosed as cauliflower-like papilloma, tumor removal under local anesthesia. Pathological examination: The examined specimen was a cauliflower-like mass of 11.5 x 8.0 x 6.0 cm. There was a pedicle with a diameter of 0.5 cm and a major diameter of 1.0 cm. The surface of the tumor is gray and white, with ulceration and necrosis. Cut gray and white weave, shiny, tough quality. Microscopic examination: The small cauliflower-like papilla and the central part of the tumor consisted of mature fibrous tissue, with squamous epithelium on the surface and infiltration of inflammatory cells. Rich collagen fiber weave