头皮孤立复发性圆筒状瘤恶性转化1例。

IF 1.5 4区 医学 Q3 DERMATOLOGY
Ko Eun Kim, Jae Yeong Jeong, Tae Jun Park, Il-Hwan Kim
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引用次数: 0

摘要

一位78岁的男性,在他的前额头皮上出现无症状的粉红色多结节性肿块。病变在不完全手术切除后复发两次。最初的穿刺活检诊断为圆筒状瘤。一年后,他因外源性肿大再次就诊,两次分期的莫氏显微摄影手术确定了分化良好的恶性圆筒状瘤。真皮下层及骨膜层组织病理学显示非典型细胞,有丝分裂,核仁深染,Ki-67指数升高10% ~ 30%。术后创面采用负压治疗(NPWT)和二次故意愈合。我们报告了一例孤立圆筒状瘤的恶性转化,使用NPWT治疗术后缺陷的二次意向愈合效果良好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A Case of Malignant Transformation of Solitary Recurrent Cylindroma on Scalp.

A Case of Malignant Transformation of Solitary Recurrent Cylindroma on Scalp.

A Case of Malignant Transformation of Solitary Recurrent Cylindroma on Scalp.

A Case of Malignant Transformation of Solitary Recurrent Cylindroma on Scalp.

A 78-year-old male presented with an asymptomatic pinkish multi-nodular mass on his frontal scalp. The lesion had recurred twice after incomplete surgical excision. Initial punch biopsy was diagnosed with cylindroma. He revisited after one year with exophytic enlargement of the mass, and two staged Mohs micrographic surgery identified well-differentiated malignant cylindroma. Histopathology in the lower dermis and periosteal layer showed atypical cells with mitosis and hyperchromatic nucleoli with increased Ki-67 index of 10% to 30%. The postoperative wound was successfully treated with negative wound pressure therapy (NPWT) and secondary intentional healing. We report this case showing malignant transformation of solitary cylindroma, and good result for secondary intention healing using NPWT for postoperative defect.

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来源期刊
Annals of Dermatology
Annals of Dermatology 医学-皮肤病学
CiteScore
1.60
自引率
6.20%
发文量
77
审稿时长
6-12 weeks
期刊介绍: Annals of Dermatology (Ann Dermatol) is the official peer-reviewed publication of the Korean Dermatological Association and the Korean Society for Investigative Dermatology. Since 1989, Ann Dermatol has contributed as a platform for communicating the latest research outcome and recent trend of dermatology in Korea and all over the world. Ann Dermatol seeks for ameliorated understanding of skin and skin-related disease for clinicians and researchers. Ann Dermatol deals with diverse skin-related topics from laboratory investigations to clinical outcomes and invites review articles, original articles, case reports, brief reports and items of correspondence. Ann Dermatol is interested in contributions from all countries in which good and advanced research is carried out. Ann Dermatol willingly recruits well-organized and significant manuscripts with proper scope throughout the world.
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