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具有皮肤镜表现的原发性黏液性黑色素瘤。

Primary myxoid melanoma with dermoscopic findings.

作者信息

Uzuncakmak Tugba K, Zindanci Ilkin, Zemheri Ebru I, Karadag Ayse S, Kuru Burce C, Akdeniz Necmettin

机构信息

Department of Dermatology, Istanbul Medeniyet University, Goztepe Research and Training Hospital, Istanbul, Turkey.

Department of Pathology, Istanbul Medeniyet University, Goztepe Research and Training Hospital, Istanbul, Turkey.

出版信息

Dermatol Pract Concept. 2017 Apr 30;7(2):59-61. doi: 10.5826/dpc.0702a13. eCollection 2017 Apr.

Abstract

Myxoid melanoma is a rare variant of melanoma, which is characterized by atypical spindle cells and dense mucin deposition in dermis. This tumor is usually seen in elderly people with a similar progress in other variants of melanoma. A 28-year-old male presented to our outpatient clinic with a 6-month history of a slowly growing asymptomatic pink lesion on his arm. Dermoscopic examination revealed pink-white cristalline structures and blue-grayish ovoid globules. The lesion was totally excised with initial diagnosis of basosquamous carcinoma, amelanotic melanoma and basal cell carcinoma. Histopathological examination was consistent with myxoid melanoma. We present this case due to the rarity of myxoid melanoma and occurrence at such a young age.

摘要

黏液样黑色素瘤是黑色素瘤的一种罕见变体,其特征是真皮内存在非典型梭形细胞和大量黏蛋白沉积。这种肿瘤通常见于老年人,其进展与黑色素瘤的其他变体相似。一名28岁男性因手臂上出现一个缓慢生长、无症状的粉红色皮损6个月前来我院门诊就诊。皮肤镜检查发现粉白色结晶状结构和蓝灰色卵圆形小球。该皮损被完整切除,初步诊断为基底鳞状细胞癌、无色素性黑色素瘤和基底细胞癌。组织病理学检查结果符合黏液样黑色素瘤。由于黏液样黑色素瘤罕见且发生于如此年轻的患者,我们特此报告此病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7231/5424666/550468ce2b97/dp0702a13g001.jpg

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