Luddy R E, Sutherland J C, Levy B E, Schwartz A D
Cancer. 1982 Aug 1;50(3):584-6. doi: 10.1002/1097-0142(19820801)50:3<584::aid-cncr2820500333>3.0.co;2-l.
A six-year-old girl with induration, swelling and discoloration of the lower eyelid, a temporal mass, preauricular adenopathy and enlarged parotid gland, underwent biopsy, She was initially diagnosed as having a malignant disorder of histiocytic origin. All lesions resolved without therapy. Further evaluation revealed that the child had oculoglandular cat-scratch disease. Cat-scratch disease should be added to the list of nonmalignant disorders which may simulate a malignant neoplasm in its clinical and histologic appearance. Recognition of this fact is important in order to avoid erroneous diagnosis, unnecessary procedures and hazardous therapy.
一名六岁女童,下眼睑出现硬结、肿胀和变色,颞部有肿块,耳前淋巴结肿大,腮腺也肿大,随后接受了活检。她最初被诊断为组织细胞源性恶性疾病。所有病变未经治疗便自行消退。进一步检查发现该患儿患有眼腺型猫抓病。猫抓病应列入在临床和组织学表现上可能模拟恶性肿瘤的非恶性疾病清单中。认识到这一事实对于避免错误诊断、不必要的操作和危险治疗非常重要。