面部皮肤混合瘤的临床特征:18例报告并文献复习  

Clinical features of facial mixed skin tumor:a report of 18 cases and literature review

作　　者：刘灵花 熊菲 汪亮亮 吴平平 宋秋荷 LIU Linghua;XIONG Fei;WANG Liangliang;WU Pingping;SONG Qiuhe(Affiliated Hospital of JiuJiang University,Department of Dermatology,JiuJiang 332000,Chin;Affiliated Hospital of JiuJiang University,Department of Pathology,JiuJiang 332000,China)

机构地区：[1]九江学院附属医院皮肤性病科,江西九江332000 [2]九江学院附属医院病理科,江西九江332000

出　　处：《皮肤性病诊疗学杂志》2022年第3期242-245,共4页Journal of Diagnosis and Therapy on Dermato-venereology

摘　　要：目的探讨面部皮肤混合瘤的临床病理学特点、诊断与鉴别诊断。方法对我院2017年3月至2021年9月间18例皮肤混合瘤患者资料进行回顾性分析。结果18例患者中男9例,女9例;发病年龄为24~64岁。18例均发生于面部,鼻部最多见,均表现为单发无自觉症状的淡红色或肤色结节。初诊诊断为肿物待查12例,表皮囊肿2例,痣、皮脂腺瘤、钙化上皮瘤及瘢痕各1例。皮损组织病理均确诊为皮肤混合瘤,其中3例向小汗腺分化,15例向大汗腺分化。均行手术切除,随访2个月~1年,均无复发。结论皮肤混合瘤是一种少见的皮肤良性肿瘤,确诊主要依赖组织病理学检查。Objective To investigate the clinicopathological features,diagnosis and differential diagnosis of mixed skin tumor.Methods We retrospectively analyzed the data of 18 patients with mixed skin tumors from our department from March 2017 to September 2021.Results The male to female ratio of the 18 cases was 1∶1,with the onset age of 24 to 64 years.All patients had facial involvement(most common on the nose),and exhibited asymptomatic singular nodule in light red or skin color.The histological findings revealed mixed skin tumor,including differentiation toward eccrine glands in 3 cases and apocrine glands in 15 cases.None of the 18 patients was clinically diagnosed as mixed skin tumor.All 18 patients underwent surgical resection and were followed up for 2 months to 1 year without recurrence.Conclusions Mixed skin tumor is a rare benign tumor.The diagnosis of the disease is mainly dependent on histopathological examination.

关 键 词：皮肤混合瘤 软骨样汗管瘤 

分 类 号：R73[医药卫生—肿瘤]