Plantin P, Quillot M, Le Lu M, Le Roux P, Guiochet N, Lodde J P, Leroy J P
Service de Dermatologie, Centre Hospitalier Intercommunal de Cornouaille.
Ann Dermatol Venereol. 1994;121(8):571-3.
Telangiectatic cutaneous metastases are mostly associated with breast carcinomas. We report a case which was developed from a parotid tumour.
A 63-year-old patient presented an erythematous, telangiectatic, rounded, cutaneous lesion of the cheek developed over a parotid tumour. Metastatic lymph nodes were observed in the drainage area of the tumour. Cutaneous histology revealed the presence of neoplastic cells in dermal vessels. After its surgical excision, histology of the parotid tumour showed an undifferentiated adenocarcinoma. Cutaneous lesions disappeared with chemotherapy.
Two similar cases of inflammatory and telangiectatic cutaneous metastases associated with parotid carcinomas were reported previously. This metastatic localization to the skin could be due to special anatomic conditions and perhaps to the similarity of some surface antigens between skin vessels and parotid carcinoma cells.
毛细血管扩张性皮肤转移瘤大多与乳腺癌相关。我们报告一例由腮腺肿瘤发展而来的病例。
一名63岁患者,在腮腺肿瘤上方出现面颊部红斑性、毛细血管扩张性、圆形皮肤病变。在肿瘤引流区域观察到转移性淋巴结。皮肤组织学检查显示真皮血管中有肿瘤细胞。手术切除后,腮腺肿瘤组织学检查显示为未分化腺癌。化疗后皮肤病变消失。
此前曾报道过两例与腮腺癌相关的炎症性和毛细血管扩张性皮肤转移瘤的类似病例。这种皮肤转移定位可能是由于特殊的解剖条件,也可能是由于皮肤血管与腮腺癌细胞之间某些表面抗原的相似性。