小汗腺汗孔瘤10例误诊分析  

Analysis of Misdiagnosis of 10 Cases of Eccrine Poroma

作　　者：柯国琳 吴辰[1] 陶运香 强娣[1] 常小丽[1] 慈超 KE Guolin;WU Chen;TAO Yunxiang;QIANG Di;CHANG Xiaoli;CI Chao(Department of Dermatology and Venereology,Yijishan Hospital,Wannan Medical College,Wuhu,Anhui 241001,China)

机构地区：[1]皖南医学院弋矶山医院皮肤性病科,安徽芜湖241001

出　　处：《临床误诊误治》2025年第5期20-25,共6页Clinical Misdiagnosis & Mistherapy

基　　金：皖南医学院校重点项目科研基金(WK2024ZZD30)。

摘　　要：目的总结小汗腺汗孔瘤的临床特点,分析误诊原因。方法回顾分析2022年8月至2023年11月诊治的10例首诊误诊为其他皮肤病的小汗腺汗孔瘤患者的临床资料。结果10例小汗腺汗孔瘤中男4例,女6例;年龄26~83岁;病程2个月~30年;1例发病前有烫伤史;均为单发;色素型3例、非色素型7例。首诊诊断为化脓性肉芽肿2例、寻常疣2例、皮肤鳞状细胞癌1例、色素痣1例、皮疹待查1例、皮肤肿物待查1例、表皮囊肿1例、皮肤基底细胞癌1例。最终通过皮肤组织病理学检查确诊为小汗腺汗孔瘤。10例误诊时间1周~1个月。所有患者行手术切除后随访8个月~2年,均无复发。结论小汗腺汗孔瘤临床和皮肤镜表现多样且缺乏特异性,确诊依赖组织病理学检查。临床医师应熟悉小汗腺汗孔瘤的临床特征,并在必要时尽早行组织病理学检查,以提高诊断准确率。Objective To summarize the clinical characteristics of eccrine poroma(EP)and to analyze the causes of misdiagnosis.Methods From August 2022 to November 2023,the clinical data of 10 patients who were initially misdiagnosed as other skin diseases were retrospectively analyzed.Results Among the 10 patients,there were 4 males and 6 females aged 26-83 years,and the course of disease ranged from 2 months to 30 years.One patient had a history of scald before onset,and there were 3 cases of pigment type and 7 cases of non-pigment type.The initial diagnosis was pyogenic granuloma in 2 oatients,verruca vulgaris in 2 patients,cutaneous squamous cell carcinoma in 1 patient,pigmented nevus in 1 patient,unspecified rash in 1 patient,unspecified skin mass in 1 patient,epidermal cyst in 1 patient,and basal cell carcinoma of the skin in 1 patient.All patients were ultimately confirmed as EP through histopathological examination.The misdiagnosis for 10 patients lasted approximately 1 week to 1 month.All patients were followed up for 8 months to 2 years after surgical resection,and there was no recurrence.Conclusion EP exhibits diverse clinical and dermoscopic manifestations with low specificity,requiring histopathological examination for definitive diagnosis.Clinicians should be familiar with the clinical features of EP and perform histopathological examination early when necessary to improve the diagnostic accuracy.

关 键 词：小汗腺汗孔瘤 误诊 化脓性肉芽肿 寻常疣 表皮囊肿 基底细胞癌 皮肤镜检查 组织病理学检查 

分 类 号：R739.5[医药卫生—肿瘤]