汗孔角化瘤一例  

Porokeratoma： a case report

作　　者：陈爱明[1] 高亚丽[1] 李娜[1] 余珊珊[1] 张伟[1] 陆燕洪[1] 

机构地区：[1]苏州大学附属第一医院皮肤科,215006

出　　处：《中华皮肤科杂志》2013年第3期191-192,共2页Chinese Journal of Dermatology

摘　　要：报告1例汗孔角化瘤。患者男，35岁。双臀部发生疣状结节1年余，无痛痒。第1次就诊时双臀部各有1个豌豆大疣状结节，手术切除3个多月后又在原部位复发。第2次就诊时共有4个（左臀1个，右臀3个）类似疣状结节。组织病理：主要表现为棘层肥厚和致密正角化过度，内有数个宽大的鸡眼样角化板。诊断为汗孔角化瘤。再次手术切除，术后给予阿维A口服，随访15个月未复发。A case of porokeratoma is reported. A 35-year-old man presented with asymptomatic verrucous nodules on both buttocks for more than 1 year. Skin examination at the first visit revealed two pea-sized verrucous nodules on bilateral buttocks. The lesions recurred at the primary site 3 months after surgical resection. At the second visit, there were 4 verrueous nodules, including 1 on the left buttock and 3 on the right buttock. Histopathological examination showed a well-defined lesion characterized by acanthosis and compact, thick orthokeratosis with seveal broad cornoid lamellae. A diagnosis of porokeratoma was made. The lesion was resected again followed by oral aeitretin treatment. No recurrence was observed during 15 months of follow up.

关 键 词：化瘤 汗孔 手术切除 角化过度 棘层肥厚 主要表现 组织病理 臀部 

分 类 号：R739.5[医药卫生—肿瘤]