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模仿寻常疣的角化过度性肢端黑色素瘤。

Hyperkeratotic acral melanoma mimicking a common wart.

作者信息

Vindigni Vincenzo, Scarpa Carlotta, Bassetto Franco

机构信息

Unit of Plastic and Reconstructive Surgery, Department of Neurosciences, University of Padova, Padova, Italy.

出版信息

Plast Reconstr Surg Glob Open. 2015 May 7;3(4):e377. doi: 10.1097/GOX.0000000000000336. eCollection 2015 Apr.

DOI:10.1097/GOX.0000000000000336
PMID:25973355
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4422208/
Abstract

Acral melanoma is a great pretender; anything but i nfrequently, it adopts clinical faces, simulating skin conditions that make the healthcare provider diagnose it as a benign disease of the palms, soles, and ungual regions. We present a case of a hyperkeratotic acral melanoma that has been misdiagnosed and that has led to an amputation of the thumb.

摘要

肢端黑色素瘤极具迷惑性;它常常呈现出各种临床表现,模拟一些皮肤病症,致使医疗人员将其诊断为手掌、脚底和甲周区域的良性疾病,这种情况并不罕见。我们报告一例角化过度型肢端黑色素瘤,该病例曾被误诊,最终导致拇指截肢。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c36/4422208/8836796de338/gox-3-e377-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c36/4422208/8cfaec683376/gox-3-e377-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c36/4422208/ab2eb000f840/gox-3-e377-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c36/4422208/8836796de338/gox-3-e377-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c36/4422208/8cfaec683376/gox-3-e377-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c36/4422208/ab2eb000f840/gox-3-e377-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c36/4422208/8836796de338/gox-3-e377-g003.jpg

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本文引用的文献

1
Acral lentiginous melanoma: who benefits from sentinel lymph node biopsy?肢端黑色素瘤:谁受益于前哨淋巴结活检?
J Am Acad Dermatol. 2015 Jan;72(1):71-7. doi: 10.1016/j.jaad.2014.10.008. Epub 2014 Oct 28.
2
Acral Lentiginous Melanoma - misdiagnosis, referral delay and 5 years specific survival according to site.肢端雀斑样痣黑素瘤——误诊、转诊延迟及根据部位的5年特异性生存率
Eur Rev Med Pharmacol Sci. 2014;18(14):1990-6.
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Acral melanoma with hyperkeratosis mimicking a pigmented wart.肢端黑色素瘤伴过度角化,类似色素性疣。
Dermatol Pract Concept. 2013 Jan 31;3(1):37-9. doi: 10.5826/dpc.0301a10. Print 2013 Jan.
4
Acral lentiginous melanoma: histopathological prognostic features of 121 cases.肢端雀斑样痣黑素瘤:121例的组织病理学预后特征
Br J Dermatol. 2007 Aug;157(2):311-8. doi: 10.1111/j.1365-2133.2007.08031.x. Epub 2007 Jun 26.
5
Acral cutaneous melanoma in caucasians: clinical features, histopathology and prognosis in 112 patients.白种人中肢端皮肤黑色素瘤:112例患者的临床特征、组织病理学及预后
Br J Dermatol. 2000 Aug;143(2):275-80. doi: 10.1046/j.1365-2133.2000.03651.x.