无法愈合的胸部皮肤损伤

A.A.C. Van Averbeke, G. Leemans, V. Beckers, M. Grosber
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引用次数: 1

摘要

虽然几乎所有的皮肤病都是可见的,但有些患者要等很长时间才能去看皮肤科医生。然而,早期诊断对于皮肤癌的治疗和预后是很重要的。一名39岁男性,右胸皮肤病变已存在3年,随时间缓慢增长,咨询皮肤科医生。解剖病理检查显示为弥漫性原发性皮肤滤泡b细胞非霍奇金淋巴瘤。分期显示为原发性皮肤淋巴瘤。在多学科肿瘤学会诊后,开始放疗。皮肤淋巴瘤往往难以诊断,因为他们的非特异性和可变的临床表现。当患者出现非典型皮肤病变时,应进行皮肤活检。对于皮肤b细胞淋巴瘤,早期诊断对于发现和治疗潜在的全身性或侵袭性b细胞淋巴瘤很重要。一个包括皮肤科医生、病理学家、血液学家和放射肿瘤学家在内的多学科管理团队是必要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Niet-genezende huidletsels van de borst
Non-healing skin lesions in the right mammary region Although almost all dermatological conditions are visible, some patients wait a long time to consult a dermatologist. Nevertheless, an early diagnosis is important for the treatment and prognosis in case of cutaneous cancers. A 39-year-old man with skin lesions on his right chest, present for 3 years and slowly growing over time, consulted the dermatologist. The anatomopathological examination showed a diffuse-type primary cutaneous follicular B-cell non-Hodgkin lymphoma. Staging revealed a primary cutaneous lymphoma. After deliberation in a multidisciplinary oncologic consultation, radiotherapy was started. Cutaneous lymphomas are often difficult to diagnose because of their non-specific and variable clinical presentation. Skin biopsies should be performed when patients present with atypical cutaneous lesions. In case of cutaneous B-cell lymphomas, early diagnosis is important to detect and treat an underlying systemic or aggressive B-cell lymphoma. A multidisciplinary management team including dermatologists, pathologists, hematologists and radiation oncologists is necessary.
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