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成人肢端先天性黑素细胞痣的非典型皮肤镜表现：平行嵴模式及其组织学相关性

Atypical dermoscopic presentation of an acral congenital melanocytic nevus in an adult: parallel ridge pattern and its histologic correlation.

作者信息

Roldán-Marín Rodrigo, González-de-Cossío-Hernández Ana Cecilia, Lammoglia-Ordiales Lorena, Martínez-Luna Eduwiges, Toussaint-Caire Sonia, Ferrara Gerardo

机构信息

Faculty of Medicine, "Universidad Nacional Autónoma de México", Mexico City, Mexico ; Dermatology Department, Hospital General "Dr. Manuel Gea González", Mexico City, Mexico.

Dermatology Department, Hospital General "Dr. Manuel Gea González", Mexico City, Mexico.

出版信息

Dermatol Pract Concept. 2015 Oct 31;5(4):23-6. doi: 10.5826/dpc.0504a06. eCollection 2015 Oct.

DOI:10.5826/dpc.0504a06
PMID:26693085
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4667597/
Abstract

Acral melanoma is the most frequent subtype in the Asian and Mexican mestizo populations. Dermoscopy is a noninvasive diagnostic technique that helps the differential diagnosis of pigmented skin lesions on acral volar skin. We, herein, present a case of acral congenital melanocytic nevus with a parallel ridge dermoscopic pattern. Since the parallel ridge pattern in a melanocytic lesion of the acral skin is classically ascribed to melanoma, the present case can be definitely labeled as "atypical" and worth of being elucidated in its histopathological correlates.

摘要

肢端黑色素瘤是亚洲和墨西哥混血人群中最常见的亚型。皮肤镜检查是一种非侵入性诊断技术，有助于对肢端掌侧皮肤色素沉着性皮损进行鉴别诊断。在此，我们报告一例具有平行嵴皮肤镜表现的肢端先天性黑素细胞痣。由于肢端皮肤黑素细胞性病变中的平行嵴表现传统上归因于黑色素瘤，本病例可明确标记为“非典型”，其组织病理学相关性值得阐明。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42a8/4667597/2041365986d3/dp0504a06g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42a8/4667597/7fd984fa5b3d/dp0504a06g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42a8/4667597/7066af1078ac/dp0504a06g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42a8/4667597/2041365986d3/dp0504a06g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42a8/4667597/7fd984fa5b3d/dp0504a06g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42a8/4667597/7066af1078ac/dp0504a06g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42a8/4667597/2041365986d3/dp0504a06g004.jpg

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本文引用的文献

1
The cell of origin of acral melanomas may be hiding in the sweat glands.肢端黑色素瘤的起源细胞可能隐藏在汗腺中。
Dermatol Ther. 2015 Mar-Apr;28(2):105-6. doi: 10.1111/dth.12184. Epub 2014 Nov 11.
2
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.
3
A melanocyte--melanoma precursor niche in sweat glands of volar skin.掌侧皮肤汗腺中的黑素细胞-黑素瘤前体龛位。
Pigment Cell Melanoma Res. 2014 Nov;27(6):1039-50. doi: 10.1111/pcmr.12297. Epub 2014 Sep 4.
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Dermoscopic features of congenital acral melanocytic naevi in children: a prospective comparative and follow-up study.儿童先天性肢端黑素细胞痣的皮肤镜特征：一项前瞻性对比和随访研究。
Br J Dermatol. 2015 Jan;172(1):88-93. doi: 10.1111/bjd.13187. Epub 2014 Nov 27.
5
Melanocytic naevus shows parallel ridge pattern due to the melanin columns under the ridges.黑素细胞痣由于嵴下的黑素柱而呈现平行嵴模式。
Acta Derm Venereol. 2015 Jan;95(1):95-6. doi: 10.2340/00015555-1865.
6
Age-related prevalence of dermatoscopic patterns of acral melanocytic nevi.肢端黑素细胞痣的皮肤镜模式与年龄相关的流行情况。
Dermatol Pract Concept. 2014 Jan 31;4(1):53-7. doi: 10.5826/dpc.0401a08. eCollection 2014 Jan.
7
Parallel ridge pattern on dermoscopy: observation in non-melanoma cases.皮肤镜检查中的平行嵴状模式：非黑色素瘤病例观察
An Bras Dermatol. 2013 Jul-Aug;88(4):646-8. doi: 10.1590/abd1806-4841.20132058.
8
Prognosis of acral melanoma: a series of 281 patients.肢端黑色素瘤的预后：281 例患者系列研究。
Ann Surg Oncol. 2013 Oct;20(11):3618-25. doi: 10.1245/s10434-013-3089-0. Epub 2013 Jul 10.
9
Dermoscopic characteristics of congenital melanocytic nevi affecting acral volar skin.累及手掌足底皮肤的先天性黑素细胞痣的皮肤镜特征
Arch Dermatol. 2011 Jul;147(7):809-13. doi: 10.1001/archdermatol.2011.150.
10
[Clinical and histopathological characteristics of malignant melanoma cases seen at "Dr. Manuel Gea González" General Hospital].["墨西哥墨西哥城“曼努埃尔·吉亚·冈萨雷斯博士”综合医院收治的恶性黑色素瘤病例的临床及组织病理学特征"]
Gac Med Mex. 2008 May-Jun;144(3):219-23.