头皮小汗腺痣合并乳头状汗管囊腺瘤1例  

A case report of scalp eccrine nevus with syringocystadenoma papilliferum

作　　者：揭丽云 王娟 林伟清 赵庆平 方杰 JIE Liyun;WANG Juan;LIN Weiqing;ZHAO Qingping;FANG Jie(Department of Dermatology,the Second People′s Hospital of Bijie;Department of Dermatology,the First People′s Hospital of Bijie,Bijie 551700,China)

机构地区：[1]毕节市第二人民医院皮肤科 [2]毕节市第一人民医院皮肤科,贵州毕节551700

出　　处：《皮肤性病诊疗学杂志》2022年第1期37-39,共3页Journal of Diagnosis and Therapy on Dermato-venereology

摘　　要：报告1例罕见头皮小汗腺痣合并乳头状汗管囊腺瘤。患者男,78岁,出生时即发现头皮黄豆大小肿物。皮肤科检查:头皮顶部可见一肤色及玫瑰红色斑块。皮损组织病理检查示:部分表皮呈疣状增生,真皮深层可见大量结构正常的小汗腺腺体及导管;另一部分表皮向真皮凹陷形成囊状腔,囊状腔下部可见乳头状突起,乳头状突起由两排细胞组成,乳头状突起基质内可见较多浆细胞。诊断:头皮小汗腺痣合并乳头状汗管囊腺瘤。予手术切除皮损及皮瓣修复术。术后18个月电话随访无复发。A case of Scalp Eccrine Nevus with Syringocystadenoma Papilliferum is reported.A 78 years old man had a soybean-sized tumor on his scalp at birth.Dermatological examination showed a patch in skin color and rose red color on the crown.Histopathological examination showed verrucous epidermal hyperplasia,and a large number of eccrine glands and ducts with normal structure in the lower dermis.The other changes in the epidermis included cystic invaginations from the epidermis into the dermis,and papillae lined by a double cell layer,and many plasma cells in the connective tissue.According to the patient's medical history,clinical manifestations and histology,the final diagnosis was scalp eccrine nevus with syringocystadenoma papilliferum.Surgical excision of skin lesion and skin flap repair were given.There was no recurrence 18 months after operation upon telephone follow-up.

关 键 词：头皮 小汗腺痣 乳头状汗管囊腺瘤 

分 类 号：R73[医药卫生—肿瘤]