Klapperich Marki E, Buhalog Brittany A, Hinshaw Molly A
Department of Dermatology, University of Wisconsin-Madison, Wisconsin, USA.
Dermatol Online J. 2018 Apr 15;24(4):13030/qt4n58b3m8.
A male in his twenties presented with a tender finger nodule that had been present for 3 months. Histopathological examination revealed a dermis with nodules of necrotic, athypical epithelaia cells with high nuclear to cytoplasmic ratios. Glandular formation was present with lumens lined by columnar epithelium, consistent with digital papillary adenocarcinoma. Digital papilary adenocarcinoma is a rare malignant adnexal tumor arising from sweat glands and requires further work-up.
一名二十多岁的男性患者出现一个压痛性手指结节,已持续3个月。组织病理学检查显示真皮层有坏死的、非典型上皮细胞结节,核质比高。可见腺管形成,管腔由柱状上皮衬里,符合指部乳头状腺癌。指部乳头状腺癌是一种罕见的起源于汗腺的恶性附属器肿瘤,需要进一步检查。