腋窝汗腺癌2例临床诊断治疗及文献复习

Armpit sweat gland cancer 2 cases clinical diagnosis treatment and literature review

目的:报告腋窝汗腺癌2例临床诊断治疗经过,文献复习探讨汗腺癌病理特征、诊断及治疗现状。方法:描述腋窝汗腺癌2例临床诊断治疗过程,对病理组织学及免疫组织化学进行分析,并对相关文献复习。结果:汗腺癌具有特征性的病理改变,肿瘤细胞具有汗腺分化,细胞排列呈腺腔样结构或导管腺样囊状结构,胞质含有大量嗜酸性颗粒。结论:汗腺癌是一种罕见的皮肤恶性肿瘤,诊断主要依靠病理组织学,临床治疗应予以手术为主的综合治疗。

Objective：To explore the pathological features of armpit sweat gland carcinoma, diagnosis and treatment. Methods：Two cases armpit sweat gland carcinoma was observed with histopathology and immunohistochemis- try, and the literatures were reviewed. Results： Sweat gland carcinoma had special pathological changes. The tumor was almost completely composed of sweat gland differentiation; Glandular cells arranged in adenoid cystic duct - like structures , cells with abundant cytoplasm may be eosinophilic. Conclusion：Sweat gland carcinoma is a rare skin tumor. Its diagnosis mainly relies to morphology. Clinical treatment should be comprehensive treatment based on surgery.