Roumi Jamal Bakri, Sabbagh Lana, Asfari Aya, Khayat Julie, Alzakri Alaa, Ishkhanian Silva
Faculty of Medicine, University of Aleppo, Aleppo, Syria.
Faculty of Medicine, University of Aleppo, Aleppo, Syria.
Int J Surg Case Rep. 2024 Dec;125:110618. doi: 10.1016/j.ijscr.2024.110618. Epub 2024 Nov 19.
Chondroid syringoma also referred to as a mixed tumor, is a benign and rare tumor originating from apocrine or eccrine sweat glands; it predominantly affects middle-aged men. While fine-needle aspiration cytology can aid in diagnosis, histological confirmation remains essential due to the potential for misdiagnosis.
A-22-year-old male who presented with a solitary, slow-growing, painless, erythematous nodule on the right nasal wing that had been present for 1 year, which was misdiagnosed as an epidermal cyst. an excisional biopsy was performed and showed in histological examination foci of myxoid to cartilaginous lakes associated with glandular structures.
Chondroid syringoma characterized by mesenchymal and epithelial components. Typically presenting as a painless nodule on the head and neck, CS can be misdiagnosed due to overlapping features with other lesions. Diagnosis involves fine-needle aspiration cytology and histological confirmation. The primary treatment is surgical excision.
Chondroid syringoma has distinctive histological characteristics, which include myxoid to cartilaginous components alongside glandular structures, these features are essential for accurate differentiation from other neoplasms. Surgical excision with an adequate margin of normal tissue is the recommended treatment approach to ensure complete removal and minimize recurrence.
软骨样汗腺螺旋瘤也被称为混合瘤，是一种起源于顶泌汗腺或小汗腺的良性罕见肿瘤；主要影响中年男性。虽然细针穿刺细胞学检查有助于诊断，但由于存在误诊的可能性，组织学确诊仍然至关重要。
一名22岁男性，右侧鼻翼出现一个孤立的、生长缓慢、无痛的红斑性结节，已存在1年，最初被误诊为表皮囊肿。进行了切除活检，组织学检查显示有黏液样至软骨样湖的病灶，并伴有腺性结构。
软骨样汗腺螺旋瘤具有间充质和上皮成分。典型表现为头颈部的无痛性结节，由于与其他病变有重叠特征，软骨样汗腺螺旋瘤可能会被误诊。诊断包括细针穿刺细胞学检查和组织学确诊。主要治疗方法是手术切除。
软骨样汗腺螺旋瘤具有独特的组织学特征，包括黏液样至软骨样成分以及腺性结构，这些特征对于与其他肿瘤的准确鉴别至关重要。建议采用手术切除并保留足够正常组织边缘的治疗方法，以确保完全切除并减少复发。
