头皮软组织肿块的鉴别诊断。
Differential diagnosis of soft scalp lumps.
作者信息
Leung Lawrence K
机构信息
Department of Family Medicine, Queen's University, Kingston, Canada.
出版信息
BMJ Case Rep. 2011 Nov 15;2011:bcr0720114492. doi: 10.1136/bcr.07.2011.4492.
Abstract
A 56-year-old man presented with a painless cyst on the top of his head which has been increasing in size in the last 6 months. Due to his learning disability, he could not be dissuaded from his belief that the lump was a sign of brain prolapse which led to increasing agitation in the next 2 weeks. A provisional diagnosis of benign lipoma was made and prompt excision was performed in his best interests. The lesion was more cystic and fluctuant than that of a lipoma and hence it was sent for histological diagnosis. The report came back as a trichilemmal cyst with no signs of proliferation. Cosmetic outcome was reasonable at follow-up after 3 months. The patient was scheduled for regular review every 6 months.
摘要
一名56岁男性，头顶出现无痛性囊肿，在过去6个月里囊肿不断增大。由于他有学习障碍，无法劝服他相信这个肿块不是脑疝的迹象，这导致在接下来的两周里他越来越烦躁不安。初步诊断为良性脂肪瘤，并为了他的最大利益进行了及时切除。该病变比脂肪瘤更呈囊性且有波动感，因此送去做组织学诊断。报告显示为毛鞘囊肿，无增殖迹象。3个月后的随访显示美容效果尚可。患者被安排每6个月定期复查。
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