Dutt P L, Baxter J W, O'Malley F P, Glick A D, Page D L
Department of Pathology, Vanderbilt University Medical Center, Nashville, TN 37232.
J Cutan Pathol. 1992 Dec;19(6):490-5. doi: 10.1111/j.1600-0560.1992.tb01602.x.
We report a facial tumor that was proven to be a metastatic mesothelioma. The diagnosis was not established pre-mortem. The patient died shortly after the facial biopsy, and an autopsy revealed a large pleural-based mass which had the gross appearance typical of a mesothelioma. Electron microscopic examination of tissue from the pleural tumor was diagnostic for mesothelioma. The patient had extensive visceral metastatic disease. Inclusion of this entity in the differential diagnosis of certain cutaneous tumors is important, in part because this lesion may be confused with angiosarcoma, particularly when it occurs in the skin of the face or head in older patients.
我们报告了一例经证实为转移性间皮瘤的面部肿瘤。生前未确诊。患者在面部活检后不久死亡，尸检发现一个位于胸膜的大肿块，其大体外观具有间皮瘤的典型特征。对胸膜肿瘤组织进行电子显微镜检查可诊断为间皮瘤。患者有广泛的内脏转移疾病。将该实体纳入某些皮肤肿瘤的鉴别诊断很重要，部分原因是该病变可能与血管肉瘤混淆，尤其是在老年患者的面部或头部皮肤出现时。
