面部平滑肌瘤

Facial leiomyoma:a case report

报告1例面部平滑肌瘤。患者女,46岁。左侧面部多发结节7年余,逐渐增多,既往无自觉症状,近期有压痛。皮损组织病理检查:表皮萎缩,真皮上中部散在梭形细胞团块。梭形细胞胞核两端钝圆,呈雪茄样,胞质丰富,呈嗜伊红色。免疫组化显示:结蛋白(desmin)和平滑肌肌动蛋白(SMA)阳性。诊断:平滑肌瘤。

A case of facial leiomyoma is reported. A 46-year-old woman presented with multiple nodules on her left face for more than 7 years, the nodules were asymptomatic previously but became tender recently. The number of lesions increased gradually. Histopathological examination revealed atrophy of the epidermis, spindle cell mass in the upper dermis. The ends of the nuclei of spindle cells were blunt, cigar-shaped, with rich cytoplasm and eosinophilic red in color. Immunohistochemistory showed： Des（＋）,SMA（＋）. The diagnosis was leiomyoma.