Hamada Y, Iwaki T, Muratani H, Imayama S, Fukui M, Tateishi J
Department of Neuropathology, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Acta Neuropathol. 1997 Jan;93(1):97-100. doi: 10.1007/s004010050588.
A 36-year-old Japanese male, who 7 years previously had been diagnosed as having an ependymoma in the left parietal region, had received surgery, chemotherapy and radiotherapy. He later developed a rapid growth of multiple skin lesions on his back and extremities, which coincided with a regrowth of the tumor. Postmortem examination revealed that the ependymoma showed anaplastic transformation and necrosis; however, no malignancy was observed in the extracranial organs. The skin lesions were histologically diagnosed as seborrheic keratoses. We have, therefore, diagnosed the patient as having Leser-Trélat sign associated with anaplastic ependymoma.
一名36岁的日本男性,7年前被诊断为左顶叶室管膜瘤,接受了手术、化疗和放疗。后来他背部和四肢出现多个皮肤病变迅速生长,这与肿瘤复发同时发生。尸检显示室管膜瘤发生间变转化和坏死;然而,颅外器官未观察到恶性肿瘤。皮肤病变经组织学诊断为脂溢性角化病。因此,我们诊断该患者患有与间变性室管膜瘤相关的Leser-Trélat征。