Vogelaar F Jeroen, Willems Jorien M
Rijnland Ziekenhuis, afd. Heelkunde, Leiderdorp, The Netherlands.
Ned Tijdschr Geneeskd. 2010;154:A1137.
A 42-year-old Dutch woman with no previous relevant medical history presented with hidradenitis suppurativa in the left inguinal region. After surgical excision, pathological investigations confirmed a diagnosis of squamous cell carcinoma. Further investigations showed no signs of metastases and after 6 months of follow-up there were no signs of recurrence. Hidradenitis suppurativa is a common chronic skin condition, localised in the axillary, inguinal and perianal regions. Squamous cell carcinoma of the skin is a rare complication of hidradenitis suppurativa. It occurs in extra-axillary locations of the hidradenitis foci, and has a poor prognosis. Pathological examination of excised skin in patients with hidradenitis foci is recommended, especially in the case of extra-axillary lesions.
一名42岁的荷兰女性,既往无相关病史,因左侧腹股沟区化脓性汗腺炎就诊。手术切除后,病理检查确诊为鳞状细胞癌。进一步检查未发现转移迹象,随访6个月后也无复发迹象。化脓性汗腺炎是一种常见的慢性皮肤病,好发于腋窝、腹股沟和肛周区域。皮肤鳞状细胞癌是化脓性汗腺炎的一种罕见并发症。它发生在化脓性汗腺炎病灶的腋外部位,预后较差。建议对化脓性汗腺炎病灶患者切除的皮肤进行病理检查,尤其是腋外病变的情况。