Stromberg B, Thorne S, Dimino-Emme L, Geiss R
Department of Surgery (Division of Plastic and Reconstruction Surgery), Creighton University, Omaha, Nebraska.
Nebr Med J. 1991 May;76(5):141-7.
In summary, chondroid syringoma is a rare sweat gland neoplasm characterized by its slow growth and unpredictable growth phase. When malignant, it has a significant potential for recurrence, metastases, and even death. Due to the rarity of this tumor, an accurate preoperative diagnosis is difficult. Therefore, it is important for the clinician to have a high degree of suspicion for chondroid syringoma when considering the differential diagnosis of solid cutaneous nodules. A patient has been presented with a chondroid syringoma with atypical features, but no unequivocal evidence of malignancy. This poses a therapeutic dilemma. At the present time, the best therapeutic option appears to be accurate diagnosis, wide local excision, and close follow-up. Further research will elucidate the role of adjunctive treatment modalities.
总之，软骨样汗管瘤是一种罕见的汗腺肿瘤，其特点是生长缓慢且生长阶段不可预测。恶变时，它具有显著的复发、转移甚至死亡风险。由于这种肿瘤罕见，术前准确诊断困难。因此，临床医生在考虑实性皮肤结节的鉴别诊断时，对软骨样汗管瘤要有高度的怀疑。本文报告了一例具有非典型特征但无明确恶性证据的软骨样汗管瘤患者。这带来了治疗上的两难困境。目前，最佳的治疗选择似乎是准确诊断、广泛局部切除并密切随访。进一步的研究将阐明辅助治疗方式的作用。
