Difficult path to the diagnosis of chromomycosis

Q4 Medicine
T. Melnikova, Nataliya Burtseva, Tatiana Alekseevna Cheboksarova, Evgeniy Vladislavovich Sokolovskiy
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引用次数: 0

Abstract

Chromomycosis is a slowly occurring mycosis of subcutaneous adipose tissue and skin. Most often, cases of the disease are recorded in countries with a tropical and subtropical climate. In the Russian Federation, the disease occurs sporadically. Very rarely (2 cases out of 100) malignant transformation into squamous cell carcinoma occurs. The article presents a clinical case of chromomycosis. A description is given of a patient in whom squamous cell carcinoma was detected at the onset of the disease, which was the reason for treatment by oncologists. Six months later, the patient had a relapse in the area of the postoperative scar and a focus in the area of the right hand. Repeated biopsy with histological examination made it possible to establish the correct diagnosis. Interest in the above clinical case was caused by the detection of chromomycosis in a resident of the city of St. Petersburg, who was not in endemic areas, was not engaged in agricultural work, and denied the primary injury. Our patient experienced a rapid malignancy of the focus, after surgical treatment, a recurrence of deep mycosis occurred. A good effect was obtained from systemic antimycotic therapy.
诊断嗜铬细胞瘤病的艰难之路
着色真菌病是一种缓慢发生的皮下脂肪组织和皮肤真菌病。该病多发于热带和亚热带气候国家。在俄罗斯联邦,该病偶有发生。极少数病例(100 例中有 2 例)会恶变为鳞状细胞癌。本文介绍了一例嗜铬细胞瘤病的临床病例。文章描述了一名患者的病史,该患者在发病时被检测出患有鳞状细胞癌,肿瘤学家因此对其进行了治疗。六个月后,患者术后疤痕部位复发,右手部位出现病灶。经过反复活检和组织学检查,最终确定了正确的诊断。上述临床病例之所以引起人们的兴趣,是因为在圣彼得堡市的一名居民身上发现了嗜铬细胞瘤病,而这名居民并不在疫区,没有从事农业工作,也否认了原发性损伤。患者的病灶迅速恶变,手术治疗后,深部霉菌病复发。全身抗霉菌治疗取得了良好的效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.80
自引率
0.00%
发文量
40
审稿时长
8 weeks
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