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一例罕见的多节段性小汗腺螺旋腺瘤。

A rare case of multiple segmental eccrine spiradenomas.

作者信息

Englander Laura, Emer Jason J, McClain Danielle, Amin Bijal, Turner Ryan B

出版信息

J Clin Aesthet Dermatol. 2011 Apr;4(4):38-44.

PMID:21532877
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3084607/
Abstract

Eccrine spiradenoma is a benign adnexal neoplasm that has been historically designated as a tumor of eccrine differentiation, although current reconsideration indicates an apocrine process. It usually presents on the trunk and extremities as a tender dermal or subcutaneous papule or nodule frequently with a pink or blue hue. The clinical picture is often not distinct and biopsy is required for diagnosis. Eccrine spiradenoma can present in a variety of ways, including as tumors arranged in zosteriform/dermatomal and/or blaschkoid distributions, often precluding a straightforward diagnosis. Proper diagnosis of eccrine spiradenoma is important due to the occurrence of potentially life-threatening malignant transformation. This article illustrates a rare presentation of eccrine spiradenoma with a concise review for the dermatologist.

摘要

小汗腺螺旋腺瘤是一种良性附属器肿瘤,尽管目前的重新审视表明其为顶泌汗腺来源,但历史上一直被认定为小汗腺分化的肿瘤。它通常出现在躯干和四肢,表现为一个触痛的真皮或皮下丘疹或结节,常呈粉红色或蓝色。临床表现往往不典型,需要活检来确诊。小汗腺螺旋腺瘤可以有多种表现形式,包括呈带状/皮节状和/或布氏线样分布的肿瘤,这常常使得诊断并不简单直接。由于可能发生危及生命的恶变,正确诊断小汗腺螺旋腺瘤很重要。本文通过对皮肤科医生的简要综述来说明小汗腺螺旋腺瘤的一种罕见表现。

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本文引用的文献

1
Multiple vascular eccrine spiradenomas: a case report and published work review of multiple eccrine spiradenomas.多发性血管外泌汗腺螺旋腺瘤:一例报告及多发性外泌汗腺螺旋腺瘤文献复习。
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3
Malignant eccrine spiradenoma: a meta-analysis of reported cases.恶性小汗腺螺旋腺瘤:报道病例的荟萃分析。
Am J Surg. 2011 May;201(5):695-9. doi: 10.1016/j.amjsurg.2010.04.015. Epub 2010 Sep 20.
4
A case of eccrine spiradenoma in a patient with neurofibromatosis.1例神经纤维瘤病患者发生小汗腺螺旋腺瘤。
Ann Dermatol. 2010 May;22(2):191-3. doi: 10.5021/ad.2010.22.2.191. Epub 2010 May 18.
5
Not all stubbed toes are innocuous--A case report of rare malignant eccrine spiradenoma (spiradenocarcinoma) of the toe.并非所有踢伤的脚趾都是无害的——一例罕见的恶性小汗腺螺旋腺瘤(螺旋腺癌)的病例报告。
Foot Ankle Surg. 2010 Jun;16(2):e32-3. doi: 10.1016/j.fas.2009.05.014.
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Brooke-Spiegler syndrome: report of a case with a novel mutation in the CYLD gene and different types of somatic mutations in benign and malignant tumors.布鲁克-施皮格勒综合征:1例CYLD基因新突变及良性和恶性肿瘤中不同类型体细胞突变的病例报告。
J Cutan Pathol. 2010 Aug;37(8):886-90. doi: 10.1111/j.1600-0560.2010.01511.x. Epub 2010 Feb 4.
7
Expression of p53 and TP53 mutational analysis in malignant neoplasms arising in preexisting spiradenoma, cylindroma, and spiradenocylindroma, sporadic or associated with Brooke-Spiegler syndrome.在先前存在的汗腺螺旋腺瘤、圆柱瘤及汗腺螺旋圆柱瘤(散发性或与布鲁克-施皮格勒综合征相关)中发生的恶性肿瘤中p53的表达及TP53突变分析
Am J Dermatopathol. 2010 May;32(3):215-221. doi: 10.1097/DAD.0b013e3181b9678c.
8
Eccrine spiradenoma with chondroid syringoma in Blaschkoid distribution.Blaschkoid 分布的具有软骨样汗管瘤分化的小汗腺螺旋腺瘤。
Indian J Dermatol Venereol Leprol. 2009 Nov-Dec;75(6):600-2. doi: 10.4103/0378-6323.57723.
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[Eccrine spiradenoma in a zosteriform distribution: presentation of a case].
Actas Dermosifiliogr. 2009 Sep;100(7):619-20.
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Malignant eccrine spiradenoma: a new case report.恶性小汗腺螺旋腺瘤:一例新病例报告
J Cutan Pathol. 2010 Apr;37(4):478-81. doi: 10.1111/j.1600-0560.2009.01320.x. Epub 2009 Jul 10.