Tellechea O, Reis J P, Marques C, Baptista A P
Clínica de Dermatologia, Hospital de Universidade de Coimbra, Portugal.
Am J Dermatopathol. 1995 Oct;17(5):499-505. doi: 10.1097/00000372-199510000-00012.
A case of papillary tubular adenoma is reported. On microscopic examination the lesion, located on the scalp, showed a tubular-branching pattern, opening on the skin surface, and features of decapitation secretion. Immunohistochemical evidence of both eccrine and apocrine differentiation was found. This case, which on a clinicopathological basis alone could be classified as tubular apocrine adenoma, illustrates the difficulties in contrasting the latter to its eccrine counterpart (papillary eccrine adenoma) and suggests that the terms papillary tubular adenoma or tubulopapillary hidradenoma more accurately describe these lesions.
报告一例乳头状管状腺瘤。显微镜检查显示，该病变位于头皮，呈管状分支模式，开口于皮肤表面，具有断头分泌特征。发现了外分泌和顶浆分泌分化的免疫组化证据。仅基于临床病理基础，该病例可归类为管状顶浆腺瘤，这说明了将后者与外分泌对应物（乳头状外分泌腺瘤）进行区分的困难，并表明术语乳头状管状腺瘤或小管乳头状汗腺腺瘤能更准确地描述这些病变。
