摘要
目的:研究毛母质瘤临床、病理特征。方法:回顾分析43例毛母质瘤临床资料和组织病理检查结果。结果:多数病人为单发皮损(占95.35%);发病年龄30岁以下占86.05%,男女比例1∶1.39;好发于面颈部、上肢,肿瘤直径0.3～2.5cm。临床与病理诊断的符合率为11.63%。毛母质瘤4种特征性病理改变(影细胞、嗜碱细胞、过渡细胞和钙化)的发生率分别为100%、68.89%、48.89%和24.44%。结论:毛母质瘤是一种缓慢生长的良性皮肤肿瘤,临床表现多样化,易误诊,临床上需要与皮脂腺囊肿、皮肤纤维瘤、表皮囊肿、血管瘤等疾病相鉴别。因此发生于面颈部、上肢的硬性结节应当完整手术切除后行组织病理检查以明确诊断。
Objective：To investigate the clinical and pathological features of pilomatricoma. Meth- od：Clinical manifestations and pathological findings of 43 patients with pilomatrieoma were retrospectively investigated. Result：Single lesion occurred in most patients （95.35 % ）and 86.05 % of them were younger than 30 years. The male - female ratio was 1 ： 1.39. The lesions which sizes ranged from 0. 3 to 2.5cm were commonly emerged in the cheeks, neck, and upper extremity. The correct diagnosis was made preoperatively in 5 patients （ 11.63 % ）. The presence of ghost cells, basaloid cells, transition cells and calcification in slide was 100% , 68. 89% , 48.89% and 24.44% , respectively. Conclusion： Pi- lomatricoma is a slowly growing benign cutaneous tumour. The manifestation is diversed and easily mis- diagnosed. The differential diagnoses including atheromatous cyst, dermatofibroma, epidermal cyst and angioma are needed in clinic. Biopsy after complete surgical excision is recommended for nodules on head, neck and upper extremity.
出处
《内蒙古医学院学报》
2012年第2期108-112,共5页
Acta Academiae Medicinae Neimongol
基金
国家自然科学基金<银屑病与系统性红斑狼疮共同易感基因TNIP1和TNFAIP3基因精细定位研究>(编号31160192)资助
关键词
毛母质瘤
临床表现
组织病理
Pilomatricoma
clinical manifestations
histopathology
