蕈样肉芽肿并内脏占位病变误诊为湿疹和银屑病1例  

A Case of Mycosis Fungoides with Visceral Lesions Misdiagnosed as Eczema or Psoriasis

作　　者：武奕[1] 石春蕊[1] 余炳前[2] 刘昱彤 骆志成[2] 

机构地区：[1]兰州大学第一医院皮肤科,甘肃兰州730000 [2]兰州大学第二医院皮肤科,甘肃兰州730030

出　　处：《中国皮肤性病学杂志》2018年第2期231-233,共3页The Chinese Journal of Dermatovenereology

摘　　要：患者男,60岁。躯干及四肢红斑伴瘙痒4年。曾被误诊为湿疹和银屑病,治疗无效。9个月前因皮损加重在右下腹部行皮损活检及免疫组织化学检查,诊断:蕈样肉芽肿。予干扰素+CHOP方案治疗,疗程中行腹部CT提示肾脏占位性病变,治疗8个月后皮损再次复发,调整为EPOCH方案治疗,目前病情基本控制。A 60-year-old male presented with erythema on trunk and limbs for 4 years.He was diagnosed with eczema or psoriasis and failed in regular remedy.Nine months ago,the patient was admitted to our hospital and given the histopathological and immunohistochemistry examination in the lower right abdomen lesions.Then the patient was diagnosed with mycosis fungoides and treated with interferon and CHOP.During the course,the patient was discovered visceral mass.After 8 months,the lesions were recurred,so the treatment changed to EPOCH program,which is under control.

关 键 词：蕈样肉芽肿 肿瘤 

分 类 号：R739.5[医药卫生—肿瘤]