靠近性上皮质状肉瘤模仿阴道炎症
Tomonori Kawasaki1, Takuya Watanabe2, Satoshi Kanno1
1Department of Pathology, Saitama Medical University International Medical Center, Hidaka, Saitama 350-1298, Japan.
Diagnostics (Basel, Switzerland)
|September 13, 2025
概括
这种病例突出显示了一种罕见的,在 inguinal 区域的小近端上皮状肉瘤 (ES). 由于其大小,出现了诊断挑战,强调了评估异常质量的活检的必要性.
科学领域:
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 表皮状肉瘤 (ES) 是一种罕见的软组织肉瘤,具有经典和近位亚型.
- 靠近性ES通常影响老年人,发生在身体核心附近的深层组织中,并且通常很大.
研究的目的:
- 报告一个在 inguinal 区域出现非常小的近端上皮状肉瘤的独特病例.
- 讨论小,非典型的近位ES呈现所带来的诊断挑战.
主要方法:
- 一个患有疼痛的 inguinal 质量的病人的案例介绍.
- 诊断工作包括磁共振成像 (MRI) 和正子发射断层扫描-计算机断层扫描 (PET-CT).
- 切口活检和随后的广泛切除与病理学检查.
主要成果:
- 磁力共振成像上的小尺寸和内部信号模式模仿了淋巴腺炎等炎症性病变.
- 尽管最初的监测,质量进展,导致活检和ES的怀疑.
- 病理学检查证实了近端ES具有明显的外科边缘;PET-CT没有检测到转移.
结论:
- 小近端上皮质类肉瘤可以呈现异常,具有挑战性的临床和成像诊断.
- inguinal 质量的广泛差异强调了通过活检进行病理评估的关键作用,以避免诊断错误.
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