Rosales Santillan Monica, ATajnert Kathrene, Swaby Michael G, Migden Michael R, Silapunt Sirunya
Department of Dermatology, University of Texas McGovern Medical School at Houston, Houston, Texas,.
Dermatol Online J. 2017 Aug 15;23(8):13030/qt11b2w0np.
Eccrine spiradenoma (ES) typically presents as a solitary tender lesion. Multiple ES is a rare variant of ES and can present in a segmental, linear, blaschkoid, or zosteriform pattern. The etiology of multiple ES is unknown, but several theories have been suggested including a multipotent stem cell origin. We report the case of a 30-year-old woman with multiple painful ES in a zosteriform pattern on the mid-back and abdomen. Skin biopsy of a representative lesion demonstrated a circumscribed tumor nodule encapsulated by a fibrous capsule with diffuse dense basophilic proliferation located in the dermis. The lesions were then excised on two separate sessions without recurrence.
小汗腺螺旋腺瘤（ES）通常表现为单个压痛性病变。多发性ES是ES的一种罕见变异型，可呈节段性、线性、线状或带状疱疹样分布。多发性ES的病因尚不清楚，但已提出几种理论，包括多能干细胞起源。我们报告了一例30岁女性病例，其在中背部和腹部出现带状疱疹样分布的多发性疼痛性ES。对一个代表性病变进行皮肤活检，显示有一个被纤维包膜包裹的边界清楚的肿瘤结节，位于真皮内，有弥漫性密集的嗜碱性增生。随后在两次单独的手术中切除病变，无复发。
