皮肤性病诊疗学杂志2024,Vol.31Issue(10) :674-678.DOI:10.3969/j.issn.1674-8468.2024.10.004

肢端无毛部位表皮囊肿临床病理特征分析

Clinical and pathological characteristics of epidermal cysts in hairless extremities

卢博 高腾 赵丽萍 张士发
皮肤性病诊疗学杂志2024,Vol.31Issue(10) :674-678.DOI:10.3969/j.issn.1674-8468.2024.10.004

肢端无毛部位表皮囊肿临床病理特征分析

Clinical and pathological characteristics of epidermal cysts in hairless extremities

卢博 1高腾 1赵丽萍 1张士发1
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作者信息

  • 1. 东北国际医院,辽宁 沈阳 110623
  • 折叠

摘要

目的 探讨肢端无毛部位表皮囊肿的特点.方法 收集3例肢端无毛部位表皮囊肿患者的临床资料,对其临床及病理特点进行总结分析.结果 3例患者发病时间4个月至1年.1例患者皮损位于右手第2指掌侧,局部有外伤史;2例皮损均位于足底部侧缘,均无外伤史.皮损组织病理检查均显示囊壁由复层鳞状上皮构成,可见颗粒层,囊腔内充填角质物质,符合典型表皮囊肿的组织病理学改变,且与有毛部位的表皮囊肿组织病理特点相同.采用手术全切除囊肿,随访半年后无复发.结论 肢端无毛部位的表皮囊肿发病时间较短,表面未见开口,无自发性破溃及豆渣样物排出.病理改变与有毛部位的表皮囊肿相同.治疗首选手术完整切除.

Abstract

Objective To investigate the characteristics of epidermal cysts in hairless extremities.Methods The clinical data of 3 cases of epidermal cysts were collected,and their clinical and pathological characteristics were analyzed.Results Disease duration ranged from 4 months to 1 year.Patient 1 had a lesion on the palmar side of the second finger of the right hand after a trau-ma.Patients 2 and 3 had lesion on the sole and lateral side of the foot,respectively,with no his-tory of trauma.Histopathological examination showed that the cyst walls were composed of multiple lamellar squamous epithelium and granular layers,and the cyst cavity was filled with keratin,con-sistent with the histopathological changes of typical epidermal cysts.Following surgical removal of the cysts,no recurrence was observed during six-month follow-up.Conclusions The epidermal cysts in hairless parts of the extremities have a short onset time,without opening surface,eruption or secretion.The pathological changes are the same as those in hairy parts of the epidermal cysts.The preferred treatment is complete surgical resection.

关键词

表皮囊肿/肢端无毛部位

Key words

epidermal cysts/hairless extremity

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出版年

2024
皮肤性病诊疗学杂志
广东省皮肤性病防治中心

皮肤性病诊疗学杂志

影响因子:0.666
ISSN:1674-8468
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