报告水疱型毛母质瘤1例.患者女,22岁.因右肩部褐青色结节3个月,水疱2个月余就诊.皮肤科检查:右肩部可见一 1.6cm×1.0cm×0.7cm大小的淡紫红色类圆形水疱样肿物,疱壁松弛有皱褶,半透明,边界清,基底可移动,可触及一约0.4 cm ×0.3 cm大小质硬肿物漂浮于其内,活动度可.皮损组织病理检查:肿瘤与周围纤维组织界限较清晰,可见嗜碱性细胞、过渡细胞及影子细胞,其间有增生、扩张的淋巴管,肿瘤内伴有出血.诊断:水疱型毛母质瘤.予手术完整切除,术后随访6个月,未见复发.
Bullous pilomatricoma:A case report
A case of bullous pilomatricoma is reported.A 22-year-old female had brown blue nodule on the right shoulder for 3 months and blisters for over 2 months.Dermatological examina-tion revealed a demarcated 1.6 cm × 1.0 cm × 0.7 cm light purple semitranslucent bulla with loose wall and movable base on the right shoulder.A movable hard mass sized 0.4 cm x 0.3 cm could be palpated.Histopathological examination of the lesion showed a mass with clear boundaries,and filtrates of basophils,transitional cells and shadow cells,along with proliferation and dilation of lymphatic vessels.The diagnosis was bullous pilomatricoma.Following surgical removal of the tumor,no recurrence was observed during 6 months of follow-up.
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