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误诊为皮肤鳞状细胞癌的假上皮瘤样增生:一例报告

Pseudoepitheliomatous hyperplasia misdiagnosed as cutaneous squamous cell carcinoma: a case report.

作者信息

Ruan Hongyu, Zhu Xiaoxia, Xu Suling, Wang Songting, Yang Feng, Li Guixiu, Jiang Xinyu, Zhao Keyu

机构信息

Department of Dermatology, The First Affiliated Hospital of Ningbo University, 59 Liuting Street, Ningbo, Zhejiang 315010, China.

Health Science Center, Ningbo University, 818 Fenghua Road, Ningbo, Zhejiang 315211, China.

出版信息

J Surg Case Rep. 2025 Jan 9;2025(1):rjae838. doi: 10.1093/jscr/rjae838. eCollection 2025 Jan.

DOI:10.1093/jscr/rjae838
PMID:39790182
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11717122/
Abstract

Pseudoepitheliomatous hyperplasia (PEH) is a rare histopathological reaction. Cases of PEH have been infrequently reported, and it's even rare to appear as a postsurgical complication. This case report describes the development of multiple masses and purulent discharge around an abdominal scar following surgery for hepatocellular carcinoma, which morphologically resembles squamous cell carcinoma (SCC), though pathology revealed no signs of malignancy. The underlying mechanism of PEH has not been fully characterized. This case report may alert clinicians and pathologists to rare diseases and update the list of postoperative complications.

摘要

假上皮瘤样增生(PEH)是一种罕见的组织病理学反应。PEH病例报道较少,作为术后并发症出现则更为罕见。本病例报告描述了肝细胞癌手术后腹部瘢痕周围出现多个肿块及脓性分泌物,其形态学上类似于鳞状细胞癌(SCC),尽管病理检查未发现恶性迹象。PEH的潜在机制尚未完全明确。本病例报告可能会提醒临床医生和病理学家注意罕见疾病,并更新术后并发症的清单。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4122/11717122/cc8755a38ea9/rjae838f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4122/11717122/86790d41954d/rjae838f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4122/11717122/cc8755a38ea9/rjae838f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4122/11717122/86790d41954d/rjae838f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4122/11717122/cc8755a38ea9/rjae838f2.jpg

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本文引用的文献

1
Pseudoepitheliomatous hyperplasia: Squamous cell carcinoma versus oral paracoccidioidomycosis, a case from a dermatological perspective.假上皮瘤样增生:鳞状细胞癌与口腔副球孢子菌病,从皮肤科角度看一例。
Biomedica. 2023 Aug 31;43(Sp. 1):69-76. doi: 10.7705/biomedica.6899.
2
Dermoscopy of Pseudoepitheliomatous Hyperplasia Tattoo Reaction Pattern.假上皮瘤样增生纹身反应模式的皮肤镜检查
Dermatol Pract Concept. 2022 Jul 1;12(3):e2022121. doi: 10.5826/dpc.1203a121. eCollection 2022 Jul.
3
Etiology and Management of Peristomal Pseudoepitheliomatous Hyperplasia.
造口周围假上皮瘤样增生的病因及处理
Cureus. 2021 Dec 6;13(12):e20196. doi: 10.7759/cureus.20196. eCollection 2021 Dec.
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Nonhealing hyperkeratotic plaques in a lung cancer patient: what caused it?一名肺癌患者的不愈合角化过度斑块:病因是什么?
Int J Dermatol. 2021 Aug;60(8):e291-e293. doi: 10.1111/ijd.15325. Epub 2020 Dec 15.
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Differentiating cutaneous squamous cell carcinoma and pseudoepitheliomatous hyperplasia by multiplex qRT-PCR.通过多重 qRT-PCR 区分皮肤鳞状细胞癌和假上皮瘤样增生。
Mod Pathol. 2013 Nov;26(11):1433-7. doi: 10.1038/modpathol.2013.82. Epub 2013 May 24.
6
Pseudoepitheliomatous hyperplasia formation after skin injury.皮肤损伤后假上皮瘤样增生的形成。
Wound Repair Regen. 2007 Jan-Feb;15(1):39-46. doi: 10.1111/j.1524-475X.2006.00183.x.