Jhuang Yi-Han, Hsiao Cheng-Wen
Department of Surgery, Tri-Service General Hospital, Taipei, Taiwan.
School of Medicine, National Defense Medical Center, Taipei, Taiwan.
Am J Case Rep. 2019 Aug 13;20:1195-1198. doi: 10.12659/AJCR.916438.
BACKGROUND Tubular papillary adenoma is a rare eccrine-derivate dermal adnexal tumor, located in the scalp mostly. Earlier, the sebaceous cyst size was larger than 5 cm in diameter and may be confused with subcutaneous tumor. Cases of the tumor on the buttock with rapid growth are rare, therefore magnetic resonance imaging (MRI) may be helpful to determine their precise size, nature, and invasion of nearby organs for further confirmation. CASE REPORT We report on a case of a 35-year-old male with a rapid-growth tumor on the buttock. Initially, he had received drainage by syringe and the amount of drainage was 50 mL. MRI favored diagnosis of sebaceous cyst. As for recurrent tumor, the pathology revealed tubular papillary adenoma. CONCLUSIONS MRI might play an important role on imaging of soft tissue to exclude some uncertain malignant tumors. This case report indicated a rare case of a large rapid-growing tubular papillary adenoma on the buttock that required further management.
管状乳头状腺瘤是一种罕见的源自汗腺的皮肤附属器肿瘤,多位于头皮。此前,皮脂腺囊肿直径大于5厘米,可能与皮下肿瘤混淆。臀部肿瘤生长迅速的病例罕见,因此磁共振成像(MRI)有助于确定其精确大小、性质以及对附近器官的侵犯情况以进一步确诊。病例报告:我们报告一例35岁男性臀部有快速生长肿瘤的病例。最初,他接受了注射器引流,引流量为50毫升。MRI倾向于诊断为皮脂腺囊肿。对于复发性肿瘤,病理检查显示为管状乳头状腺瘤。结论:MRI在软组织成像以排除一些不确定的恶性肿瘤方面可能发挥重要作用。本病例报告显示了一例罕见的臀部快速生长的大型管状乳头状腺瘤病例,需要进一步处理。