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火龙果样恶性外生性汗管瘤:病例报告

Malignant exophytic syringoma like the pitaya: Case report.

作者信息

Gao Puhang, Huang Wei, Ding Yana, Zhang Yu, Tang Xiaowei

机构信息

Department of Surgery One, Chongqing Tongliang District Hospital of Traditional Chinese Medicine, Chongqing 402560, China.

Geriatric Department, Chongqing Tongliang District Hospital of Traditional Chinese Medicine, Chongqing 402560, China.

出版信息

Int J Surg Case Rep. 2024 Dec;125:110653. doi: 10.1016/j.ijscr.2024.110653. Epub 2024 Nov 23.

Abstract

INTRODUCTION

Syringoma is a common skin disease that occurs around the eye socket, more common in women, and benign usually. Malignant exophytic cases are extremely rare.

PRESENTATION OF CASE

Here we report a case of a 57-year-old adult male with an exophytic, long pedicle syringoma. The patient went through surgery after being hospitalized, and the postoperative pathology was determined to be syringoma. HE staining revealed the presence of tumor cell atypia, which was very malignant. During postoperative follow-up, there was no evidence of tumor recurrence or metastasis.

DISCUSSION

Syringoma is a tumor of the sweat glands that diverge toward the terminal sweat ducts and usually produce small pupils in the skin color of light yellow or brown. The number of cases is higher in females than males, with a preference for the eyelids. There have been no reports of malignant syringoma with a pedicle that is more than 5 cm long.

CONCLUSION

Wide local excision (WLE) is the primary method of treatment for the malignant exophytic syringoma.

摘要

引言

汗管瘤是一种常见的皮肤病,发生于眼眶周围,女性更为常见,通常为良性。恶性外生性病例极为罕见。

病例介绍

在此我们报告一例57岁成年男性患有外生性、长蒂汗管瘤。患者住院后接受了手术,术后病理确诊为汗管瘤。苏木精-伊红(HE)染色显示存在肿瘤细胞异型性,极具恶性。术后随访期间,无肿瘤复发或转移迹象。

讨论

汗管瘤是一种向终末汗管分化的汗腺肿瘤,通常在皮肤产生淡黄色或棕色的小丘疹。女性病例数多于男性,好发于眼睑。尚无超过5厘米长蒂的恶性汗管瘤的报道。

结论

广泛局部切除(WLE)是恶性外生性汗管瘤的主要治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfe6/11629275/a9652b091225/gr1.jpg

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