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成功手术切除符合巨大血管外分泌汗腺螺旋腺瘤的皮肤病变:一例罕见病例报告。

Successful surgical removal of a cutaneous lesion compatible with gigantic vascular eccrine spiradenoma: a rare case report.

作者信息

Alnafee Reem A, Almasaud Aram K, Alshamrani Abdullah M, Alrasheedi Saud D, Alzahrani Abdulrahman J, Alqahtani Adel S

机构信息

General Surgery Department, Security Forces Hospital Program, Riyadh 11481, Saudi Arabia.

出版信息

J Surg Case Rep. 2023 Jun 5;2023(6):rjad259. doi: 10.1093/jscr/rjad259. eCollection 2023 Jun.

Abstract

Giant vascular eccrine spiradenoma (GVES) is an uncommon type of eccrine spiradenoma (ES). Compared to an ES, this is characterized by a greater degree of vascularity and a bigger size overall. In clinical practice, it is frequently mistaken for a vascular or malignant tumor. To achieve an accurate diagnosis of GVES via biopsy and successfully perform the surgical removal of a cutaneous lesion in the left upper abdomen compatible with GVES. We present a 61-year-old female with the lesion accompanied by on-and-off pain, bloody discharge and skin changes surrounding the mass treated surgically. However, there was no fever, weight loss, trauma or family history of malignancy or cancer managed by surgical excision. The patient recovered well postoperatively and was discharged on the same day with a 2-week follow-up. The wound got healed, the clips were removed on Day 7 postoperatively, and there was no requirement for further follow-up.

摘要

巨大血管性小汗腺螺旋腺瘤(GVES)是一种罕见的小汗腺螺旋腺瘤(ES)类型。与ES相比,其特征在于血管化程度更高且总体尺寸更大。在临床实践中,它常被误诊为血管性肿瘤或恶性肿瘤。为通过活检准确诊断GVES并成功手术切除左上腹与GVES相符的皮肤病变。我们报告一名61岁女性,其病变伴有间歇性疼痛、血性分泌物以及肿块周围皮肤改变,接受了手术治疗。然而,患者无发热、体重减轻、外伤史,也无恶性肿瘤家族史,通过手术切除进行治疗。患者术后恢复良好,术后当天出院,并进行了为期2周的随访。伤口愈合,术后第7天取出夹子,无需进一步随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84a8/10244048/b6b6c7dd47f7/rjad259f1.jpg

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