【摘要】：目的:分析總結(jié)乳頭狀汗管囊腺瘤的臨床表現(xiàn)及組織病理特點。方法:回顧性分析我科診斷的48例乳頭狀汗管囊腺瘤患者臨床表現(xiàn)和組織病理資料。結(jié)果:48例患者中,男26例,女22例,在出生時和嬰幼兒發(fā)病者38例(79%),分布于頭部者34例(71%)。皮損多表現(xiàn)為緩慢增大的單發(fā)丘疹、結(jié)節(jié)或斑塊等多形性損害。組織病理表現(xiàn)為表皮向下凹陷形成囊狀腔,囊狀腔下部可見乳頭狀突起伸入囊腔,凹陷的囊狀腔上部襯以鱗狀上皮細胞,囊狀腔下部及乳頭狀突起襯以腺上皮細胞。18例患者同時并發(fā)有皮脂腺痣表現(xiàn)。結(jié)論:該病出生時及嬰幼兒好發(fā),多分布于頭部,組織病理學(xué)有表皮向下凹陷形成囊狀腔及囊狀腔下部乳頭狀突起伸入囊腔的特征性表現(xiàn)。臨床表現(xiàn)多樣,易和皮脂腺痣并發(fā)。
[Abstract]:Objective: to analyze and summarize the clinical and pathological features of papillae perspiration cystadenoma. Methods: the clinical manifestations and histologic data of 48 patients with papillary perspiration cystadenoma diagnosed in our department were analyzed retrospectively. Results: there were 26 males and 22 females, 38 cases (79%) were born and infants, 34 cases (71%) were distributed in the head. Most of the lesions were pleomorphic lesions such as slow enlargement of single papules, nodules or plaques. The histology showed that the epidermis was depressed downward to form a saccular cavity, and papillae protruding into the saccular cavity could be seen in the lower part of the saccular cavity, and the upper part of the saccular cavity was lined with scaly epithelial cells. Gland epithelial cells were lined in the lower part of the saccular cavity and papilla processes. 18 patients were complicated with sebaceous nevi at the same time. Conclusion: the disease is more common at birth and in infants and young children, and most of them are distributed in the head. The histology has the characteristic features that the epidermis is depressed to form the saccular cavity and the papillae protruding into the saccular cavity at the lower part of the saccular cavity. The clinical manifestations are diverse and easy to be complicated with sebaceous nevi.
【作者單位】： 第四軍醫(yī)大學(xué)西京皮膚醫(yī)院;
【分類號】：R739.5

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1 祝向東,李俊君,楊梅,馬紀(jì)周;多發(fā)性皮脂腺痣[J];臨床皮膚科雜志;2005年01期

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