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大脚趾处因细胞性施万细胞瘤导致的经久不愈的溃疡。

Non-healing ulcer on the great toe due to cellular schwannoma.

机构信息

Department of Dermatology and Sexually Transmitted Disease, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.

出版信息

Clin Exp Dermatol. 2009 Dec;34(8):e904-6. doi: 10.1111/j.1365-2230.2009.03674.x.

Abstract

Cellular schwannoma (CS) occurring in the foot is uncommon, and when it does occur, it usually presents as a slowly growing tumour. Ulceration of CS on the foot is rare. We report a 20-year-old woman who presented with a painful and non-healing ulcer on the lateral area of the right great toe, which failed to heal despite treatment. Six months after onset of the ulcer, a small swelling appeared below it. Histological examination of a biopsy taken from the edge of the ulcer established the diagnosis of CS. Preoperative magnetic resonance imaging delineated the mass on the lateral area of the right great toe. The mass was surgically excised, which led to resolution of the symptoms. This case highlights the fact that chronic ulcers in the foot can be due to CS. Correct diagnosis and management depend on a histopathological diagnosis.

摘要

足部的细胞 schwannoma(CS)很少见,而且即使发生,通常也表现为缓慢生长的肿瘤。足部的 CS 溃疡很少见。我们报告了一位 20 岁女性,她的右脚大脚趾外侧出现疼痛且无法愈合的溃疡,尽管进行了治疗,但仍未愈合。溃疡出现 6 个月后,其下方出现一个小肿块。从溃疡边缘处取活检进行组织学检查,确立了 CS 的诊断。术前磁共振成像描绘了右脚大脚趾外侧的肿块。肿块被手术切除,症状得到缓解。该病例强调了一个事实,即足部的慢性溃疡可能是由 CS 引起的。正确的诊断和治疗取决于组织病理学诊断。

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