C. Zengarini, A. Guglielmo, Martina Mussi, Andrea Filippini, S. Vaccari, B. M. Piraccini, A. Pileri
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引用次数: 0
摘要
本病例报告描述的是一名 83 岁的患者,曾患有非黑色素瘤皮肤癌,颈部出现一个剧烈、无痛的结节。皮肤镜检查和随后的活检显示,患者患有小/中型 CD4+ T 细胞淋巴增生性疾病(SMPLPD)。虽然最初建议进行切除,但患者还是选择了二氧化碳激光消融术。手术出现了一些轻微的并发症,但最终成功痊愈。SMPLPD 是一种罕见的皮肤病,治疗数据有限,本病例表明,对于选定的患者来说,边缘最小的 CO2 激光消融术可能是一种可行的替代方法,它可以减少出血,促进小结节的二次愈合。不过,要更好地了解 SMPLPD 病例的长期疗效,还需要更广泛的随访数据。
Primary cutaneous CD4+ small/medium T-cell lymphoproliferative disorder nodule successfully treated with laser Co2 ablation: a case report and literature review
This case report describes an 83-year-old patient with a history of non-melanoma skin cancer who presented with a violaceous, painless nodule on the neck. Dermoscopic examination and subsequent biopsy revealed a Small/Medium CD4+ T-cell lymphoproliferative disorder (SMPLPD) of the skin. Although excision was initially recommended, the patient opted for treatment with CO2 laser ablation. The procedure had some minor complications but resulted in successful healing. SMPLPDs are a rare skin condition with limited treatment data, and this case suggests that CO2 laser ablation with minimal margins could be a viable alternative for selected patients, reducing bleeding and promoting second-intention healing for small nodules. However, more extensive follow-up data for SMPLPD cases are needed to understand long-term outcomes better.