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基底细胞癌并发原发性和继发性蝇蛆病。

Concurrent primary and secondary myiasis on basal cell carcinoma.

作者信息

Raposo Adriana Andrade, Schettini Antônio Pedro Mendes, Massone Cesare

机构信息

Fundação Alfredo da Matta, Manaus, AM, Brazil.

出版信息

An Bras Dermatol. 2012 Mar-Apr;87(2):292-5. doi: 10.1590/s0365-05962012000200016.

Abstract

Myiasis is a disease caused by infestation of fly larvae in human and other vertebrate tissues. It is a skin condition common in tropical and subtropical countries and its predisposing factors are: chronic diseases, immunodeficiency, poor hygiene, senility, psychiatric disorders, skin cancers and ulcerated mucosae. We report the case of a healthy patient who after traumatic injury of a preexisting lesion showed a tumor on the dorsal region parasitized by fly larvae. The histopathological examination performed for the diagnosis of skin neoplasm surprisingly revealed the presence of a partially degenerated larva with characteristics of Dermatobia hominis, suggesting an association of primary and secondary myiasis on basal cell carcinoma.

摘要

蝇蛆病是一种由蝇幼虫寄生在人类和其他脊椎动物组织中引起的疾病。它是热带和亚热带国家常见的一种皮肤疾病,其诱发因素包括:慢性病、免疫缺陷、卫生条件差、衰老、精神障碍、皮肤癌和黏膜溃疡。我们报告了一例健康患者的病例,该患者在先前存在的病变遭受创伤后,背部出现了一个被蝇幼虫寄生的肿瘤。为诊断皮肤肿瘤而进行的组织病理学检查令人惊讶地发现了一只部分退化的具有人皮蝇特征的幼虫,提示基底细胞癌合并原发性和继发性蝇蛆病。

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