毛鞘癌一例  

A case of trichilemmal carcinoma

作　　者：孟胜男 秦春芳 寇然 黎楠[2] 杨顶权[2] MENG Sheng-nan;QIN Chun-fang;KOU Ran(Graduate School of Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学,北京100029 [2]中日友好医院皮肤病与性病科

出　　处：《实用皮肤病学杂志》2020年第2期126-128,共3页Journal of Practical Dermatology

摘　　要：72岁女性患者,左前臂屈侧单发灰褐色黄豆大小皮肤肿物伴瘙痒6个月。患者左前臂屈侧可见一1.1 cm×0.8 cm×0.8 cm大小的灰褐色皮肤肿物,界限清楚,表面粗糙,顶端附着褐色痂皮,触之较硬,无压痛。局部浸润麻醉下行皮肤肿物完整切除术,组织病理示:肿瘤团块由上皮样细胞组成,可见较多空泡化细胞和骤然角化现象,有少量角化不良细胞,部分细胞有异型性及不典型核丝分裂像。诊断:毛鞘癌。术后随访6个月无复发。A 72-year-old female patient presented with a solitary gray-brown skin mass with itching on the flexion side of the left forearm for 6 months.Dermatological Examination showed a skin mass with a hue of gray brown,sized 1.1 cm×0.8 cm×0.8 cm,with clear boundaries,rough surface covered by brown crust,hard texture,without tenderness.Skin tumor resection was performed.The histopathological finding showed that the tumor mass was composed of epitheloid cells,with a lot of vacuolated cells and abrupt keratinization,and there were also a small number of dyskeratosis cells,as well as some tumor cells with atypia and atypical mitosis.The diagnosis of trichilemmal carcinoma(TC)was confirmed.There was no recurrence after 6 months follow-up.

关 键 词：毛鞘癌 

分 类 号：R739.5[医药卫生—肿瘤]