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机构地区:[1]安徽淮北市人民医院皮肤科,安徽淮北235000
出 处:《中国皮肤性病学杂志》2016年第5期501-503,共3页The Chinese Journal of Dermatovenereology
摘 要:患者女,51岁。右前臂无痛性紫红色结节4年余。皮损组织病理示:角化过度,真皮内肿瘤组织主要由成纤维样细胞和组织样细胞组成,可见较多不规则的出血性裂隙与囊腔,裂隙及囊腔周边无内皮细胞。免疫组织化学染色示:肿瘤细胞波形蛋白(Vimentin)和CD68阳性,而结蛋白(Desmin),CD34及S-100均阴性。结合临床表现、组织病理改变和免疫组织化学染色,诊断为动脉瘤样纤维组织细胞瘤。A 51-year-old woman presented with a purple painless nodule on her right forearm for about 4 years. Histopathological examination of skin biopsy showed hyperkeratosis, tumor cells comprised of fibro-blast-like and histiocyte-like cells, irregular blood-filled spaces without endothelial cells. Immunohistochemically,the tumor cells were vimentin and CD65 positive, but negative for desmin, CD34 and S-100. It was diagnosed as aneurysmal fibrous histiocyloma according to clinical manifestation, histopathological and immunohistochemical features.
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