囊性基底细胞癌与巨大的 Vulvar 囊
Takayuki Suyama1, Megumi Yokoyama, Jun Matsushima
1Takayuki Suyama, MD, PhD, Department of Dermatology, Dokkyo Medical University Saitama Medical Center, 2-1-50 Minami-koshigaya, Koshigaya, Saitama, 343-8555, Japan; suyama11@dokkyomed.ac.jp, ORCID ID: 0000-0002-6986-411X.
Acta dermatovenerologica Croatica : ADC
|January 13, 2025
概括
本报告详细介绍了一种罕见的囊性基本细胞癌 (BCC) 病例,呈现为大阴道囊. 这种不寻常的呈现突显了在囊性瘤的差异诊断中考虑BCC的重要性.
科学领域:
- 皮肤病学 皮肤病学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 囊性基础细胞癌 (BCC) 是BCC的一种罕见亚型.
- 通常,它在组织学上表现为多个小囊,通常没有明显的临床囊外观.
研究的目的:
- 报告一个不寻常的囊性BCC病例,呈现为大囊.
- 讨论这个罕见实体的诊断考虑和组织学特征.
主要方法:
- 一个90岁的老妇人的病例报告,有一个大阴道结节.
- 临床检查,磁共振成像 (MRI),手术切除,以及包括免疫组织化学在内的组织病理学评估.
主要成果:
- 一个大的 (90x70x60毫米) 囊性部瘤被切除.
- 组织病理学揭示了带有外围化的基质细胞和粘素沉积的基质细胞,与囊性BCC一致.
- 免疫组织化学排除了其他上皮标记物.
- 在手术后20个月没有观察到复发.
结论:
- 这种病例代表了一种罕见的囊性BCC病例,其中有一个单一的大型生殖器囊.
- 这些发现强调了需要将BCC纳入囊性部瘤的差异诊断中的必要性.
- 由于瘤的大小和呈现方式,BCC与表皮或附结构的起源仍然不清楚.
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