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囊性基底细胞癌还是汗腺囊瘤?在一例组织病理学诊断困难的病例中采用切除活检术

Cystic basal cell carcinoma or hidrocytoma? The use of an excisional biopsy in a histopathologically challenging case.

作者信息

Buckel Tamy B H, Helm Klaus F, Ioffreda Michael D

机构信息

Department of Dermatology, The Milton S Hershey Medical Center, The Pennsylvania State University College of Medicine, Hershey, PA 17033, USA.

出版信息

Am J Dermatopathol. 2004 Feb;26(1):67-9. doi: 10.1097/00000372-200402000-00010.

DOI:10.1097/00000372-200402000-00010
PMID:14726825
Abstract

Basal cell carcinoma (BCC) has many histologic variants. These variants may show differentiation toward benign and malignant tumors of cutaneous appendages, especially hair follicles. Herein we describe a lesion that was clinically thought to be a BCC, but a superficial biopsy showed histologic features suggestive of an apocrine hidrocystoma. Because of some cytologic atypia, complete excision was recommended. The excision specimen revealed a cystic BCC. The importance of examining the entire neoplasm before reaching a final pathologic diagnosis is emphasized.

摘要

基底细胞癌(BCC)有多种组织学变体。这些变体可能显示出向皮肤附属器(尤其是毛囊)的良性和恶性肿瘤的分化。在此,我们描述了一个临床上被认为是基底细胞癌的病变,但浅表活检显示出提示大汗腺汗囊肿瘤的组织学特征。由于存在一些细胞非典型性,建议进行完整切除。切除标本显示为囊性基底细胞癌。强调了在得出最终病理诊断之前检查整个肿瘤的重要性。

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引用本文的文献

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Dermatopathology (Basel). 2024 Oct 25;11(4):303-314. doi: 10.3390/dermatopathology11040032.
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Nodulocystic basal cell carcinoma on the limb masquerading as vascular malformation on imaging.肢体结节囊肿型基底细胞癌在影像学上伪装成血管畸形。
J Surg Case Rep. 2023 Jan 10;2023(1):rjac618. doi: 10.1093/jscr/rjac618. eCollection 2023 Jan.
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Spontaneous haemorrhage in an eyelid hidrocystoma in a patient treated with clopidogrel.
一名接受氯吡格雷治疗的患者眼睑汗腺囊瘤出现自发性出血。
Eye (Lond). 2013 Jun;27(6):782-3. doi: 10.1038/eye.2013.57. Epub 2013 Apr 12.
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Oculoplastic aspects of ocular oncology.眼肿瘤科的眼整形问题。
Eye (Lond). 2013 Feb;27(2):199-207. doi: 10.1038/eye.2012.243. Epub 2012 Nov 30.
5
A benign or malignant eyelid lump--can you tell? An unusual collision tumour highlighting the difficulty differentiating a hidrocystoma from a basal cell carcinoma.良性还是恶性眼睑肿块——你能分辨出来吗?一例罕见的碰撞瘤凸显了鉴别汗腺囊瘤和基底细胞癌的困难。
BMJ Case Rep. 2012 Jun 28;2012:bcr1220115307. doi: 10.1136/bcr.12.2011.5307.