头皮畸胎瘤1例  

One cases of scalp teratoma

作　　者：施友元[1] 刘捷[1] 

机构地区：[1]福建省肿瘤医院头颈外科,福州350000

出　　处：《临床耳鼻咽喉头颈外科杂志》2015年第2期179-180,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：患者,女,27岁,以＂发现头皮肿物10年,增大半年＂为主诉入院。10年前出现右颞侧头皮肿物,初约黄豆大小,无明显增大,入院前半年来肿物增大明显,现约有鸽蛋大小,无伴有头晕,头痛、视物模糊,呕吐等不适。体检：右颞侧近耳部一半球形肿物,大小约3cm×4cm×3cm,触之表面光滑,有囊性感,无压痛,基底部无明显移动,未触及颅骨缺损。入院后初步诊断：头皮囊肿,脂肪瘤可能。The patient,female,27 years old.The scalp neoplasm had been found at her right temple 10 years ago.At first,the size of the tumor was just like a soybean,and did not grow obviously in the past nine and a half years.But the tumor increased fast in these six months,almost as large as the pigeon egg now.The physical examination showed that:A spherical tumor locates in the right temple near the right ear;the size of the tumor is 3cm×4cm×3cm;the surface is smooth,no tenderness,no obvious mobile base,skull defect not touched.Primary diagnosis:the scalp cyst or lipoma.Under the local anesthesia we remove the neoplasm,during the operation we found the lesion located in the subcutaneous tissue layer,involved the galea aponeurosis layer,the skull surface are smooth and complete.The tumor was completely removed.We cut the mass and found a cystic cavity sized 3cm×4cm,which contained gray jerry-built materials,contained oil and a mass of hair,the capsule wall was complete.Postoperative pathological report:The tumor is cystic look throught the microscope,the capsule wall is squamous epithelium,containing keratinized material and hair.The pathological diagnosis is teratoma.The incision healed primarily,no recurrence found for about a year.

关 键 词：头皮畸胎瘤 手术切除 

分 类 号：R682.1[医药卫生—骨科学]