BMJ:在臀部长出的巨大菜花状肿块是啥肿瘤?-案例报道

2017-02-12 xing.T MedSci原创

令人惊讶的是,在组织学分析的结果中发现该病变与发炎和刺激脂溢性角化病相一致,该病为一种良性皮肤生长性疾病,常见于成年人,并常被称为老年疣。有文献报道了脂溢性角化病的不寻常表现,包括那些已经与恶性肿瘤相混淆的临床表现。

患者为一名81岁的女性,因其在右臀部发现一个10厘米的恶臭、易碎、菜花状和带蒂肿瘤(如图1所示)而到皮肤癌诊所就诊。


图1

因就诊时该患者病变被怀疑为恶性病变,所以该病灶立刻被皮肤病医生予以切除。

令人惊讶的是,在组织学分析的结果中发现该病变与发炎和刺激脂溢性角化病相一致,该病为一种良性皮肤生长性疾病,常见于成年人,并常被称为老年疣。有文献报道了脂溢性角化病的不寻常表现,包括那些已经与恶性肿瘤相混淆的临床表现。

报道本病例获得患者同意,并且主要强调临床病理相联系的重要性。

原始出处:

Chris Duhovic,   et al. A giant fungating tumour on the buttock.BMJ 2017; 356 doi: https://doi.org/10.1136/bmj.i6440

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    2017-09-12 gaoxiaoe
  2. [GetPortalCommentsPageByObjectIdResponse(id=1848229, encodeId=aa9c1848229a2, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Tue Sep 12 10:49:00 CST 2017, time=2017-09-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1679307, encodeId=10ea16e930735, content=<a href='/topic/show?id=9d0c85935fd' target=_blank style='color:#2F92EE;'>#臀部#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85935, encryptionId=9d0c85935fd, topicName=臀部)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=72f427741828, createdName=Homburg, createdTime=Mon Mar 13 00:49:00 CST 2017, time=2017-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=177054, encodeId=54021e705466, content=非常好的文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5Rzegz2kicwSDGST4gkzMm8229KtEaV7JEushLtsOJ4OweeyQ7oiaqU73G1eVialdQSZrH7DWxTgR8pYZ/0, createdBy=e81f1959878, createdName=小大夫快跑, createdTime=Mon Feb 20 06:13:03 CST 2017, time=2017-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=176044, encodeId=9ff41e6044f3, content=非常好的文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Tue Feb 14 08:27:24 CST 2017, time=2017-02-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1412006, encodeId=6a3314120061e, content=<a href='/topic/show?id=951b82e63ff' target=_blank style='color:#2F92EE;'>#肿块#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82763, encryptionId=951b82e63ff, topicName=肿块)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c58f2824468, createdName=cnxcy, createdTime=Tue Feb 14 02:49:00 CST 2017, time=2017-02-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=175790, encodeId=286d1e5790a5, content=皮肤病医生:-I,这种肯定需要做病理明确性质啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRhMvhh5icA01VlaGzCZQ0VOzgHK4JVfic4aufJ9ic3NibwHq6QCpLFptGLWLOyZms63YicPa1vgcuVlT2/0, createdBy=b3172018021, createdName=Dr.赵, createdTime=Sun Feb 12 20:15:46 CST 2017, time=2017-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=175762, encodeId=977b1e576258, content=意想不到啊!, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLC1BMzZWdMSPQWuib6BtQGicK8ygGBM6YakpfkRc67soFSuKbZr86enL1KggQZEZbgWSeicJibafmYfQ3AibicIHMwwicmDShfRFvvI38/0, createdBy=272a110164, createdName=laoli, createdTime=Sun Feb 12 14:38:24 CST 2017, time=2017-02-12, status=1, ipAttribution=)]
    2017-03-13 Homburg
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    2017-02-20 小大夫快跑

    非常好的文章

    0

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    2017-02-14 天涯183

    非常好的文章

    0

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    2017-02-14 cnxcy
  6. [GetPortalCommentsPageByObjectIdResponse(id=1848229, encodeId=aa9c1848229a2, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Tue Sep 12 10:49:00 CST 2017, time=2017-09-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1679307, encodeId=10ea16e930735, content=<a href='/topic/show?id=9d0c85935fd' target=_blank style='color:#2F92EE;'>#臀部#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85935, encryptionId=9d0c85935fd, topicName=臀部)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=72f427741828, createdName=Homburg, createdTime=Mon Mar 13 00:49:00 CST 2017, time=2017-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=177054, encodeId=54021e705466, content=非常好的文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5Rzegz2kicwSDGST4gkzMm8229KtEaV7JEushLtsOJ4OweeyQ7oiaqU73G1eVialdQSZrH7DWxTgR8pYZ/0, createdBy=e81f1959878, createdName=小大夫快跑, createdTime=Mon Feb 20 06:13:03 CST 2017, time=2017-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=176044, encodeId=9ff41e6044f3, content=非常好的文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Tue Feb 14 08:27:24 CST 2017, time=2017-02-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1412006, encodeId=6a3314120061e, content=<a href='/topic/show?id=951b82e63ff' target=_blank style='color:#2F92EE;'>#肿块#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82763, encryptionId=951b82e63ff, topicName=肿块)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c58f2824468, createdName=cnxcy, createdTime=Tue Feb 14 02:49:00 CST 2017, time=2017-02-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=175790, encodeId=286d1e5790a5, content=皮肤病医生:-I,这种肯定需要做病理明确性质啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRhMvhh5icA01VlaGzCZQ0VOzgHK4JVfic4aufJ9ic3NibwHq6QCpLFptGLWLOyZms63YicPa1vgcuVlT2/0, createdBy=b3172018021, createdName=Dr.赵, createdTime=Sun Feb 12 20:15:46 CST 2017, time=2017-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=175762, encodeId=977b1e576258, content=意想不到啊!, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLC1BMzZWdMSPQWuib6BtQGicK8ygGBM6YakpfkRc67soFSuKbZr86enL1KggQZEZbgWSeicJibafmYfQ3AibicIHMwwicmDShfRFvvI38/0, createdBy=272a110164, createdName=laoli, createdTime=Sun Feb 12 14:38:24 CST 2017, time=2017-02-12, status=1, ipAttribution=)]
    2017-02-12 Dr.赵

    皮肤病医生:-I,这种肯定需要做病理明确性质啊

    0

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    2017-02-12 laoli

    意想不到啊!

    0