脐肠系膜管息肉

报告1例脐肠系膜管息肉.患儿女,7岁.出生时即发现脐凹部有一黄豆大鲜红色肿物,常有少量淡红色血样分泌物渗出,无异味.肿物缓慢增大.皮损组织病理检查:真皮内有大量腺体及增生扩张充血的血管,腺体由杯状细胞组成.组织病理诊断:脐肠系膜管息肉.将肿物手术切除,随访8个月未复发.     

脐肠系膜管息肉1例

患儿男,5岁.因脐部红色肿物2年,于2008年10月15日来我科就诊.患儿3岁时发现脐部彭隆,有少量分泌物渗出,中心可见黄豆大红色肉芽组织,患儿哭闹或用力时肿物突出脐凹,无自觉症状.2年来肿物缓慢增大.患儿足月顺产,平素体健,家族成员中无类似疾病患者.     

脐部肠系膜导管息肉一例及文献复习

<正>临床资料患儿,男,4个月。主因脐窝红色丘疹3个月余,于2013年02月15日就诊。家长代诉患儿出生满月后发现其脐部有一红色丘疹,偶有少量血性分泌物,未予重视。近半个月来皮损逐渐增大,血性分泌物增多。该患儿系第1胎第1产,足月顺产。患儿父母非近亲结婚。既往史、个人史及家族史无特殊。体格检查:一般情况良好,各系统检查未见异常。皮肤科检查:脐窝处可见一0.4 cm×0.6 cm×0.1 cm大小红色丘疹,表面光滑湿润,质地柔软,丘疹表面及周围有少量血性分泌物(图1)。初步诊断:脐息肉。治疗:常规手术消毒铺巾,先用12.5 cm血管钳固定基底部。术时     

脐部脐肠系膜管息肉二例

<正> 例1 男,5个月。因脐部红色肉样肿物渐长大5月于1989年9月11日就诊。患儿出生后,父母即发现脐部有一鲜红色约米粒大小肉样肿物。以后渐长大,时有出血,量不多,可自行止血。曾在当地医院经中西药(药名不详)治疗,疗效欠佳。患儿父母非近     

高频大电刀治疗脐息肉23例疗效观察

1临床资料23例患者为本科1990年以来门诊病例。男18例，女5例，年龄7个月～16岁，平均2．6岁。患者脐部中央均有肉芽肿形成，似草莓状，直径约0．6～1．0cm不等。颜色呈鲜红或暗红色，表面有粘液、浆液样分泌物，少数可有血痂。所有患者未见窦道及粪便排出。其中8例脐周有湿疹样皮炎，1例16岁患者湿疹样皮炎近15年。     

皮肤脐肠系膜息肉一例报告

脐肠系膜息肉系由皮肤以外的上皮组成的皮肤异位性胎瘤,来源于胚胎时期中脐肠系膜管的遗留物,而致皮肤发生类似胃肠道的异位性组织.     

喙状凸脐孢致角膜溃疡

目的：分离和鉴定1株引起角膜溃疡的罕见病原菌。方法：取角膜溃疡患者眼坏死组织涂片及培养进行鉴定。结果：根据直接镜检和培养的菌落形态及镜下见孔处产孢，分生孢子梗呈膝状弯曲，可见离壁分隔，两端细胞色暗，基部可见脐状突起，经鉴定为喙状凸脐孢。结论：该例为国内罕见的由喙状凸脐孢引起的角膜溃疡，经及时治疗预后较好。     

皮带扣致脐周接触性皮炎46例

１９９５年～１９９９年我们在门诊病人中发现皮带扣接触部位皮炎４６例,现将观察报告如下。临床资料一般资料４６例中男１８例,女２８例,年龄１５～51岁,病程７天～１１年,平均２．７年。表现为脐周淡红色及暗红色斑片,伴有丘疹、糜烂渗出及鳞屑,部分病例伴有色素沉着,境界清楚（见图１）。自觉瘙痒,病情反复,冬轻夏重。所有病例发病部位在脐周及腰部,同时有或曾有其它部位皮损者１９例（４１．３％）,其中腕部手表接触部位８例（１７．４％）,眶周颞部眼镜接触部位１例（２．２％）,项链及发卡接触部位３例（６．５％）,背…     

多发性阴道息肉1例

患者女,26岁。阴道口数个鲜红肉赘,无痛痒,触之不出血。组织病理检查示:被覆鳞状上皮,间质水肿, 血管丰富,炎性细胞浸润。诊断为阴道息肉。     

Umbilical omphalomesenteric duct polyp

患儿女,5个月. 主诉:脐窝红色丘疹4个月余. 现病史:患儿出生后半个月家长发现其脐窝有一红色丘疹,偶有少量出血,未予治疗.随着年龄增大皮损逐渐增大,为明确诊断,于2010年5月21日来我科门诊就诊.患儿系第1胎第1产,足月顺产. 既往史、个人史及家族史:无特殊. 体格检查:一般情况较好,各系统检查未见异常. 皮肤科检查:脐窝处可见一鲜红色丘疹,约0.5 cm × 0.7 cm,表面光滑湿润,质地柔软,丘疹表面及周围有少量渗血(图1). 组织病理检查:表皮不规则增生,可见细胞从复层鳞状上皮突然转变为肠型上皮,并伴有红细胞外溢和少量淋巴细胞浸润(图2A、B). 诊断:脐部肠系膜导管息肉.     

下颌部浸润性微乳头状涎腺导管癌

报告1例下颌部浸润性微乳头状涎腺导管癌.患者男,52岁.下颌部皮肤肿物10年,临床表现为质硬、界限不清的肿块.皮损组织病理检查:真皮组织、皮下纤维脂肪组织及横纹肌组织内可见乳头状腺癌、微乳头状腺癌浸润或转移,细胞排列呈团块状或筛孔状,肿瘤团块周围有收缩间隙;肿瘤细胞细胞核异形性明显,核大深染.免疫组化:CK7(+)、雌...     

Umbilical polyp: a report of two cases.

Two cases with umbilical polyp are reported. This rare malformation arises from remnants of the omphalomesenteric duct and may be clinically mistaken for a granuloma pyogenicum or other benign or malignant umbilical neoplasms. Histologically umbilical polyp shows branching glandular structures lined by intestinal mucosa in connection with the surface of the skin. When the umbilical polyp is not associated with any other types of underlying abnormalities, it may be treated by a simple surgical excision.     

以红斑、结节为首发表现的胰腺性脂膜炎合并胰管结石1例

 报告1例以红斑、结节为首发表现的胰腺性脂膜炎合并胰管结石。患者男,78岁。双小腿红斑、结节伴触痛4天。皮肤科查体：双小腿可见散在约蚕豆至钱币大小红斑、结节,伴触痛。皮损病理：表皮大致正常,病变主要位于皮下脂肪,脂肪小叶内可见广泛脂肪坏死,周围见嗜碱性细胞团块、混合炎细胞及鬼影细胞。上腹部增强CT：主胰管结石,伴相邻胰颈部及体尾部主胰管扩张。诊断：胰腺性脂膜炎合并胰管结石。转肝胆外科行经腹胰管结石取石术后皮损消退,随访2年未复发。     

胰腺癌脐周转移一例

胰腺癌继发脐转移临床上十分少见,本文报道1例胰腺癌转移至脐周的病例。临床资料患者,女,57岁。因腹胀伴腹痛10余天来我院消化内科就诊,并以＂腹痛待查？＂收入院。入院查体时发现脐部有一肿块,请皮肤科会诊。询问病史及查体,该患一个半月前无明显诱因,脐部出现黄豆大孤立结节,红褐色、质硬、无自觉症状,未予治疗。结节渐增大至货币大、呈暗红色并突出皮肤表面,中心处破溃形成溃疡。     

Umbilical endometriosis: report of a case and its dermoscopic features

Cutaneous endometriosis is a rare manifestation of endometriosis, representing 0.5% to 1% of all endometriosis cases. It can be divided into primary and secondary, when appearing spontaneously or after a surgical procedure, when it is mostly found on surgical scar tissue. Some etiologies were proposed, but none of them could entirely explain the appearance of the tumor. Differential diagnosis includes melanoma, metastatic nodule, keloid and pyogenic granuloma. Dermoscopic features are not yet well established, but there are some characteristics that suggest the diagnosis. Treatment is surgical in larger sized lesions. Malignization can occur. The screening for endometriosis is mandatory by means of gynecologic, imaging and marked-tumor evaluation. We report a case of primary umbilical endometriosis and discuss its dermoscopic aspects.     

Porokeratotic eccrine ostial and dermal duct naevus: report of 10 cases

Background Porokeratotic eccrine ostial and dermal duct nevus (PEODDN) is a congenital hamartoma that has rarely been documented. Objectives To describe the clinical and histological features of 10 patients with PEODDN. Methods A retrospective study of 10 patients with PEODDN attended in our paediatric hospital between 1999 and 2009 was performed. The clinical and histopathological features were reviewed. Results Nine children and one adult were included in the study. In 6 cases the lesion was present at birth and they were unique in 5 cases and systematized in the other 5 cases. Two cases in the same family are reported. The lesions were most commonly found on the extremities, although the palms or soles were involved in 9 cases and only in one case there was not affection of this area. The lesions were mostly asymptomatic but there was moderate itching in two cases. Clinical examination revealed no extracutaneous involvement. Conclusions PEODDN is a rare disorder that usually appears at birth or early childhood. It has a linear distribution following the Blaschko lines. To our knowledge this is the largest series reported in English literature and we also describe the first family case.     

汗孔角化性小汗腺孔和真皮导管痣一例

患儿,男,13岁。因左上肢角化性丘疹及斑块8年,于2014年12月8日就诊于我科。8年前,在无明显诱因下左手掌尺侧缘小鱼际肌的表面出现少许角化性丘疹,无自觉症状。随后丘疹逐渐增多,部分丘疹融合成斑块,且呈带性分布。家族中未见类似疾病患者。