胸壁皮脂腺囊肿误诊脂肪瘤的原因分析

An analysis on the causes of misdiagnosis of sebaceous gland cyst of the chest wall for lipoma

目的探讨胸壁皮脂腺囊肿误诊原因。方法回顾性分析140例经病理证实的胸壁皮脂腺囊肿的临床表现及病理诊断。结果15例(10.7%)误诊为脂肪瘤,误诊原因①病史询问不全面;②皮脂腺囊肿感染后质地变软,产生波动感。结论近期感染史的询问结合对肿物的检查有助于减少误诊。

objective To investigate the causes of misdiagnosis for cyst of sebaceous gland in chest wall. Methods The clinical symptoms of 140 pathologically diagnosed cases with cyst of sebaceous gland were retrospectively analyzed. Results 15 10.7% cases were misdiagnosed for lipoma before operation. The possible causes include 1 An incomplete inquiry about the history of disease. 2 A fluctuant and softening cyst after a recent inflammation. Conclusions A careful examination on cyst especially on a soft and fluctuant one combined with an inquiry about recent history of local inflammation is necessary to reduce the misdiagnosis.