[一名11岁儿童中缝的线性囊性病变]
[Linear cystic lesion of the median raphe in an 11-year-old child].
作者信息
Phan C, Pontoizeau J, Grossin M, Wann A-R, Mahé E
机构信息
Service de dermatologie, hôpital Victor-Dupouy, 69, rue du Lieutenant-Colonel-Prud'hon, 95107 Argenteuil cedex, France.
Service d'anatomopathologie, hôpital Victor-Dupouy, 69, rue du Lieutenant-Colonel-Prud'hon, 95107 Argenteuil cedex, France.
出版信息
Ann Dermatol Venereol. 2019 Jan;146(1):37-40. doi: 10.1016/j.annder.2018.07.015. Epub 2019 Jan 9.
BACKGROUND
Median raphe cysts are rare benign lesions of the male genitalia. They may be present along the entire raphe, from the urethral meatus to the anus, in the median position. We report herein a case of median raphe cyst with an atypical clinical and histological presentation.
PATIENTS AND METHODS
An 11-year-old boy consulted in dermatology for an asymptomatic perineal lesion. The clinical examination revealed a linear cystic lesion with clear content extending from the base of the scrotum to the anus. The histological diagnosis was a superficial dermal glandular cyst suggestive of a possibly apocrine origin in this topography, or possibly due to malformation.
DISCUSSION
Different clinical and histological features of median raphe cysts have been reported in the literature. Treatment is mainly surgical.
背景
正中缝囊肿是男性生殖器罕见的良性病变。它们可能沿整个正中缝出现，从尿道口到肛门，位于正中位置。我们在此报告一例具有非典型临床和组织学表现的正中缝囊肿病例。
患者与方法
一名11岁男孩因无症状的会阴病变到皮肤科就诊。临床检查发现一个内容物清亮的线性囊性病变，从阴囊底部延伸至肛门。组织学诊断为浅表真皮腺囊肿，提示在此部位可能起源于顶泌汗腺，也可能是由于畸形所致。
讨论
文献中已报道了正中缝囊肿不同的临床和组织学特征。治疗主要是手术治疗。
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