酷似瘢痕疙瘩的皮肤平滑肌肉瘤延迟诊断
Delayed diagnosis of dermal leiomyosarcoma mimicking keloid scar.
作者信息
Sleiwah Aseel, Clinton Aoibhinn, Herbert Kevin
机构信息
Plastic Surgery Unit, The Ulster Hospital, Belfast, UK.
Histopathology department, Belfast Health and Social Care Trust, Belfast, UK.
出版信息
BMJ Case Rep. 2018 Jan 26;2018:bcr-2017-222616. doi: 10.1136/bcr-2017-222616.
A 43-year-old man developed an abnormal scar 6 months following excision of a leiomyoma from his left shoulder. The scar was elevated, irregular in shape, pink-red in colour, hard in consistency and it was extending beyond the margins of the original wound. A diagnosis of a keloid scar was considered and the patient was managed as such. He underwent a planned procedure for intralesional excision of the keloid scar. The histopathological examination showed a diagnosis of leiomyosarcoma. This case report presents a delayed diagnosis of dermal leiomyosarcoma mimicking a keloid scar. The patient subsequently underwent wider excision of the tumour with curative intention.
一名43岁男性在左肩平滑肌瘤切除术后6个月出现异常瘢痕。瘢痕隆起，形状不规则，呈粉红色，质地硬，超出了原伤口边缘。考虑诊断为瘢痕疙瘩，对该患者进行了相应处理。他接受了瘢痕疙瘩病灶内切除的计划手术。组织病理学检查显示诊断为平滑肌肉瘤。本病例报告展示了一例误诊为瘢痕疙瘩的皮肤平滑肌肉瘤延迟诊断病例。该患者随后接受了以治愈为目的的肿瘤扩大切除术。
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