酷似藏毛窦的基底细胞癌：一例病例报告并文献复习
Basal cell carcinoma mimicking pilonidal sinus: A case report with literature review.
作者信息
Salih Abdulwahid M, Kakamad F H, Rauf Goran M
机构信息
Faculty of Medical Sciences, School of Medicine, Department Surgery, University of Sulaimani, François Mitterrand Street, Sulaymaniyah, Iraq.
Faculty of Medical Sciences, School of Medicine, Department Cardiothoracic and Vascular Surgery, University of Sulaimani, François Mitterrand Street, Sulaymaniyah, Iraq.
出版信息
Int J Surg Case Rep. 2016;28:121-123. doi: 10.1016/j.ijscr.2016.09.040. Epub 2016 Sep 28.
INTRODUCTION
Pilonidal sinus is a common benign disease that accounts for almost 15% of anal suppurations while basal cell carcinoma is the most common malignancy of the sun-exposed area occurring mainly on the head and neck. We report a case of basal cell carcinoma presented with signs and symptoms of PNS. A 40-year-old male presented with swelling of the lower back for 2 years. On examination, there was a round, mobile, soft 4×2.5cm mass on the sacrococcygeal area. Ultrasound showed subcutaneous cystic lesion. Clinical diagnosis of PNS was done and excisional biopsy was performed under local anesthesia. The result of the histopathological examination was suggestive for basal cell carcinoma.
CONCLUSION
Basal cell carcinoma should not be forgotten in differential diagnosis of superficial mass and abscesses.
引言
藏毛窦是一种常见的良性疾病，几乎占肛门化脓性疾病的15%，而基底细胞癌是主要发生在头颈部阳光暴露部位最常见的恶性肿瘤。我们报告一例表现为藏毛窦体征和症状的基底细胞癌病例。一名40岁男性因下背部肿胀2年就诊。检查发现骶尾部有一个圆形、可移动、质地柔软的4×2.5cm肿物。超声显示皮下囊性病变。临床诊断为藏毛窦，并在局部麻醉下进行了切除活检。组织病理学检查结果提示为基底细胞癌。
结论
在浅表肿物和脓肿的鉴别诊断中不应忽视基底细胞癌。
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