Spitz痣样黑素瘤
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摘要
报告1例Spitz痣样黑素瘤。患者男,53岁,左前臂快速增大的无痛性皮肤结节3个月。皮肤科检查见左前臂直径0.8 cm的肤色半球形肿物,边界清楚,表面粗糙,上覆灰白色鳞屑,质韧。临床表现、组织病理及免疫组化检查结果均符合Spitz痣样黑色素瘤。行手术切除,术后未行其他治疗。术后9个月随访,未见复发及转移。
A case of Spitzoid melanoma is reported. A 53-year-old male presented with a rapidly enlarged painless tumor on the left forearm over the last three months. Physical examination showed a demarcated hemispherical tumor, sized 0.8 cm in diameter, with white scales on the surface. According to the clinical, histopathological and immunohistochemical findings, a diagnosis of spitzoid melanoma was made. The tumor was surgically removed. Neither recurrence nor metastasis was seen during 9-month follow up.
A case of Spitzoid melanoma is reported. A 53-year-old male presented with a rapidly enlarged painless tumor on the left forearm over the last three months. Physical examination showed a demarcated hemispherical tumor, sized 0.8 cm in diameter, with white scales on the surface. According to the clinical, histopathological and immunohistochemical findings, a diagnosis of spitzoid melanoma was made. The tumor was surgically removed. Neither recurrence nor metastasis was seen during 9-month follow up.
引文
[1]赵辨.中国临床皮肤病学[M].南京:江苏凤凰科学技术出版社,2017:1857-1870.
[2]Tetzlaff MT,Xu X,Elder DE,et al.Angiomatoid Spitz nevus:a clinicopathological study of six cases and a review of the literature[J].J Cutan Pathol,2009,36(4):471-476.
[3]侯贻魁,卢丽华,张玲,等.簇发性Spitz痣1例及文献复习[J].中国皮肤性病学杂志,2017,31(3):308-321.
[4]Lazova R,Seeley EH,Keenan M,et al.Imaging mass spectrometry-a new and promising method to differentiate Spitz nevi from Spitzoid malignant melanomas[J].Am J Dermatopathol,2012,34(1):82-90.
[2]Tetzlaff MT,Xu X,Elder DE,et al.Angiomatoid Spitz nevus:a clinicopathological study of six cases and a review of the literature[J].J Cutan Pathol,2009,36(4):471-476.
[3]侯贻魁,卢丽华,张玲,等.簇发性Spitz痣1例及文献复习[J].中国皮肤性病学杂志,2017,31(3):308-321.
[4]Lazova R,Seeley EH,Keenan M,et al.Imaging mass spectrometry-a new and promising method to differentiate Spitz nevi from Spitzoid malignant melanomas[J].Am J Dermatopathol,2012,34(1):82-90.