足部良性软骨样注射器瘤:临床困境

Sonam Sharma, S. Sharma
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引用次数: 2

摘要

上皮细胞的变化也很明显。细胞多形性缺失(图4)。这些组织病理学结果表明,最终诊断为左脚良性软骨样淋巴瘤(内分泌型)。免疫组化(IHC)结果显示,上皮内层细胞角蛋白(CK) 7、上皮膜抗原(EMA)阳性,肌外层vimentin、S100和p63阳性。肿瘤细胞p15、p16、desmin均呈阴性表达。术后病人的生活平安无事。2年随访期间无病变复发迹象。摘要软骨样囊状瘤是一种罕见的皮肤附件肿瘤,最常见于头颈部。我们在此报告一个不寻常的情况下,良性软骨样淋巴瘤的左脚在一个40岁的女性,这是一个诊断难题。这种情况下的方法,鉴别诊断和管理这种罕见的实体也提出。
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Benign chondroid syringoma of foot: a clinical dilemma
of epithelial cells were also apparent. Cellular pleomorphism was absent (Figure 4). These histopathological findings pointed towards the final diagnosis of a benign chondroid syringoma (eccrine type) of the left foot. Immunohistochemistry (IHC) was also performed, which revealed a strong positivity of inner epithelial layer for cytokeratin (CK) 7 as well as epithelial membrane antigen (EMA) and the outer myoepithelial layer for vimentin, S100 and p63. A negative immunoexpression of tumor cells for p15, p16 and desmin was seen. The post-operative period of the patient was uneventful. There was no evidence of recurrence of the lesion during her 2 year follow-up period. Abstract Chondroid syringoma is a rare skin appendageal tumor which is most commonly encountered in the head and neck region. We herein report an unusual case of a benign chondroid syringoma of the left foot in a 40-year-old female which posed as a diagnostic conundrum. The approach to such a case, differential diagnosis and the management of this rare entity is also presented.
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