表現(xiàn)為糜爛性斑塊的蕈樣肉芽腫1例
發(fā)布時(shí)間:2018-01-13 20:10
本文關(guān)鍵詞:表現(xiàn)為糜爛性斑塊的蕈樣肉芽腫1例 出處:《中國(guó)皮膚性病學(xué)雜志》2016年08期 論文類型:期刊論文
【摘要】:患者男,65歲。周身斑塊伴瘙癢6年,糜爛滲出2年。皮膚科情況:面頸部、軀干上部、四肢、腋窩、腹股溝、肛周可見(jiàn)大小不等的紅色斑塊,斑塊表面糜爛滲出,局部可見(jiàn)結(jié)痂。皮損組織病理示:表皮增生,輕度水腫,部分表皮糜爛,真皮團(tuán)塊狀淋巴細(xì)胞浸潤(rùn),少量嗜酸性粒細(xì)胞,部分淋巴細(xì)胞侵入表皮。免疫組化示:CD3(+),CD4散在(+),CD8(+),CD20(-),CD30(-),CD79a(-),Ki-67(30%~40%+)。診斷:蕈樣肉芽腫(ⅡA期)。
[Abstract]:The patient was 65 years old. His body had plaques with itching for 6 years, erosion and exudation for 2 years. Dermatology: face and neck, upper torso, limbs, armpit, groin, perianal red plaques. Epidermis hyperplasia, mild edema, partial epidermal erosion, dermis mass lymphocyte infiltration and a small amount of eosinophils were observed in the lesions. Some lymphocytes infiltrated the epidermis. Immunohistochemical staining showed that CD 3 was scattered in CD8. Ki-67 ~ 30%. Diagnosis: mycosis fungoides (stage 鈪,
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