色素性隆突性皮肤纤维肉瘤一例

Pigmented dermatofibrosarcoma protuberans: a case report

患者,女,40岁。背部肿物6年余。组织病理示:真皮及皮下组织巨大肿物,其内大量梭形细胞呈席纹状排列,其间见轻微核异型,并可见大量黑素细胞及黑素颗粒。诊断:色素性隆突性皮肤纤维肉瘤。治疗:手术沿肿物扩大2 cm切除,随访3个月无复发。

A 40-year-old female presented with a 6-year history of an asymptomatic nodule on the back. Histological examination showed that circumscribed tumor in the deep dermis and subcutis consisting of spindle cells with mild nuclear atypia arranged in storiform and foci of dendritic pigmented cell. The diagnosis of pigmented dermatofibrosarcoma protuberans was made. The lesion was further resected, and no relapse after 3-month follow up.