【摘要】：目的：報(bào)告1例少見的頸部隆突性皮膚纖維肉瘤,并復(fù)習(xí)相關(guān)文獻(xiàn),以提高皮膚科臨床醫(yī)師對(duì)本病的認(rèn)識(shí)。方法：對(duì)該患者的臨床病歷資料進(jìn)行分析總結(jié),并結(jié)合相關(guān)文獻(xiàn)討論其病因、臨床特點(diǎn)、組織病理學(xué)特征、診斷、鑒別診斷及治療。結(jié)果：該患者以左頸部皮膚凹陷性紅斑、結(jié)節(jié)為主要臨床表現(xiàn),皮損組織病理示典型席紋狀、車輻狀改變,免疫組化染色：CD34強(qiáng)陽(yáng)性,vimentin陽(yáng)性,S-100陰性。臨床表現(xiàn)、組織病理與免疫組化改變均與文獻(xiàn)報(bào)告相符,并與類似疾病進(jìn)行了鑒別,診斷成立。結(jié)論：隆突性皮膚纖維肉瘤易誤診、預(yù)后較好、復(fù)發(fā)率高,診斷有賴于常規(guī)組織病理結(jié)合免疫組化技術(shù)。
[Abstract]:Objective: to report a rare case of cervical Carina dermatofibrosarcoma and review the literature to improve the understanding of dermatologists. Methods: the clinical data of the patient were analyzed and summarized, and the etiology, clinical features, histopathological features, diagnosis, differential diagnosis and treatment were discussed. Results: the main clinical manifestations of the patient were erythema and erythema nodule in the left neck. The pathological changes of the lesions were typical striate and carousel. Immunohistochemical staining showed that CD34 was strongly positive, vimentin was positive, and S-100 was negative. The clinical manifestations, histopathological and immunohistochemical changes were consistent with the literature reports, and similar diseases were differentiated and diagnosed. Conclusion: Carina dermatofibrosarcoma is easy to be misdiagnosed with good prognosis and high recurrence rate. The diagnosis depends on routine histopathology and immunohistochemical technique.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R739.5

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