切除藏毛囊肿时是否需要进行组织学检查？
Is histological examination necessary when excising a pilonidal cyst?
作者信息
Parpoudi Styliani N, Kyziridis Dimitrios S, Patridas Dimitrios Ch, Makrantonakis Apostolos N, Iosifidis Pavlos, Mantzoros Ioannis G, Tsalis Konstantinos C
机构信息
4th Department of General Surgery, General Hospital "G. Papanikolaou", Aristotle University of Thessaloniki, Thessaloniki, Greece.
出版信息
Am J Case Rep. 2015 Mar 21;16:164-8. doi: 10.12659/AJCR.892843.
BACKGROUND
Pilonidal disease is a common inflammatory condition mostly affecting young males. Malignant degeneration of a pilonidal cyst is rare, with incidence estimated at 0.1%. The most common type is squamous cell carcinoma and the treatment of choice remains en block resection of the lesion.
CASE REPORT
We present the case of a patient with locally advanced squamous cell carcinoma arising in a pilonidal cyst, due to misdiagnosis of the disease during his first treatment.
CONCLUSIONS
Detailed histological examination of all excised pilonidal cyst lesions is essential and any histological suspicion should prompt a wider excision.
背景
藏毛窦疾病是一种常见的炎症性疾病，主要影响年轻男性。藏毛窦囊肿的恶性变很少见，发病率估计为0.1%。最常见的类型是鳞状细胞癌，治疗的首选仍然是整块切除病变。
病例报告
我们报告一例因首次治疗时疾病误诊，导致藏毛窦囊肿发生局部晚期鳞状细胞癌的患者。
结论
对所有切除的藏毛窦囊肿病变进行详细的组织学检查至关重要，任何组织学上的怀疑都应促使进行更广泛的切除。
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