顶泌汗腺囊腺瘤与顶泌汗腺囊瘤各一例

例1男,50岁.2年前无明显诱因在鼻梁左侧面出现一粟粒大小暗红色丘疹,略高出皮面,表面光滑有光泽,略透明,无自觉症状.1年前丘疹逐渐增大,颜色渐变为暗灰蓝色,无季节性变化,未曾诊治.近1月来增长迅速,逐于2009年2月9日来我院就诊.既往身体健康,家族中无类似疾病患者.体检:各系统检查未见异常.     

顶泌汗腺汗囊瘤与顶泌汗腺囊腺瘤各2例报道

顶泌汗腺汗囊顶泌汗腺汗囊瘤(Apocrine hidrocystoma,AH)与顶泌汗腺囊腺瘤(Apocrine cystadenoma,AC)是一种少见的附属器囊肿性肿瘤,常为面部单发的圆顶状半透明结节,临床上二者常常难以鉴别,组织病理可将二者区分开来,现将我科诊治 4例报道如下.     

多发性顶泌汗腺汗囊瘤合并顶泌汗腺增生一例

患者男,38岁。因左耳后丘疹、结节38年就诊。皮肤科检查：左耳后数十个大小不等肤色、淡红色丘疹、结节。组织病理示,真皮内一个不规则囊性结构,囊壁衬以2层上皮细胞,外层是扁平空泡的肌上皮细胞,内层为柱状或小的立方状细胞,胞质嗜酸性,可见顶浆分泌现象,囊壁周围包绕纤维样基质。真皮下部可见大量增生的大汗腺。结合临床资料及病理学改变,诊断为大汗腺囊瘤合并大汗腺增生。     

管状顶泌汗腺腺瘤一例

患者女,23岁。右小腿皮下结节3年、近1个月皮损处感不适于2011年6月5日来我科就诊。患者3年前无明显诱因右小腿皮下一结节,无明显不适,皮损缓慢增大。近1个月有轻度触痛,遂来我科就诊。患者既往体健,家族中无类似疾病患者……     

顶泌汗腺汗囊瘤一例

<正>临床资料患者,男,43岁。因左外眼角肤色丘疹半年,于2015年7月18日就诊。半年前,无明显诱因患者左眼外眦出现绿豆大小肤色丘疹,表面光滑,逐渐增大,无主观不适。既往体健。体格检查:一般情况可,     

管状顶泌汗腺腺瘤1例

<正>1病历摘要患者男,55岁。因左大腿结节20余年、出血1d就诊。患者20余年前无明显诱因左大腿出现绿豆大紫红色结节,无明显自觉症状。后结节逐渐增大,1d前无明显诱因出血,遂来我院就诊。既往史、家族史无特殊。体格检查:全身各系统检查未见明显异常。皮肤科检查:左大腿根部可见一约2cm×1.5cm紫红色结节,境界清楚,质地较硬,表面光滑,可见破溃出血(图1)。     

双侧眼睑多发性顶泌汗腺囊瘤一例

患者男,45岁,因双侧眼睑周围囊性肿物1年余就诊.1年前无明显诱因患者双侧眼睑出现3粒绿豆大小囊性肿物,无瘙痒、疼痛等自觉症状,未予诊治.曾数次自行用针头刺破,挤出透明黏液后肿物短期缩小,但大约半月后肿物恢复原有大小.近1个月以来,自觉囊性肿物较前有所增大.体检:一般状况良好,发育正常,营养中等,各系统检查未见异常.     

顶泌汗腺汗囊瘤1例

顶泌汗腺汗囊瘤临床少见,现将我们诊治的1例报道如下. 临床资料患者女,20岁.因左耳后皮损20年就诊.患者出生后左耳后出现一淡红色表面发亮的半球形粟粒大丘疹,后皮疹增多增大融合成斑块,其中一皮损增大形成红色结节,结节表面近年来出血伴轻微疼痛.既往无其他慢性病史,家族中无类似患者.体检:一般情况良好,系统检查无异常,全身浅表淋巴结未扪及.     

儿童管状顶泌汗腺腺瘤1例

患者男,8岁,臀部结节2年。皮肤科情况：左侧臀部一紫红色半球形结节,直径约0.6 cm,境界清楚,质地中等,表面糜烂、结痂,轻度压痛。皮损组织病理示：真皮内大量增生的形态不规则的管腔或囊腔样结构,部分与表皮相连,管腔衬以两层或多层上皮细胞,外层细胞扁平,内层细胞核圆形或类圆形,可见顶浆分泌。免疫组织化学：肿瘤细胞CK7(+),管腔内侧上皮细胞EMA、CEA(+),管腔外侧上皮细胞p63(+)。治疗：予手术完整切除,现在随访中。     

顶泌汗腺性痒疹1例

正1临床资料患者女,27岁,双侧腋窝皮疹伴痒3年。3年前患者双侧腋窝出现数个肤色、毛囊性丘疹,偶有痒感,未进行任何治疗,后出现间歇性瘙痒,皮疹数量逐渐增加。1个月前,皮疹增多明显,瘙痒加剧,尤以高温、神经紧张、出汗或月经来潮前明显。患者既往体健,无相关疾病家族史。皮肤科情况:双侧腋窝可见多发的、圆顶的、肤色毛囊性丘疹,直径1 mm,表面光滑,孤立分布,未见融合,双侧腋窝毛发稀疏,周围皮肤正常(图1)。腋窝皮疹组织病理示:表皮     

Apocrine cystadenoma

Apocrine cystadenoma presents another distinct clinico-pathological entity among the appendage tumours. Clinically these small skin coloured, blue or black cysts can usually be distinguished from basal cell carcinoma, melanocytic naevus, or a vascular lesion provided the possible diagnosis is borne in mind. Histologically the picture is quite distinct and diagnostic.     

顶泌汗腺汗囊瘤

报告1例顶泌汗腺汗囊瘤.患者男,60岁.左下眼睑结节1年余.皮损组织病理检查示真皮内可见一囊肿结构,囊壁由2层柱状上皮细胞组成,部分上皮细胞可见断头分泌.     

Apocrine cystadenoma arising in a nevus sebaceus of Jadassohn

An increased incidence of benign and malignant adnexal tumors has been noted to occur within the nevus sebaceus of Jadassohn. We report a case of a 41-year-old white woman with a blue cyst on her scalp which had recently developed within a congenital "birthmark." Excision of the lesion revealed that the nodule was an apocrine cystadenoma within a nevus sebaceus of Jadassohn. The clinical features of nevus sebaceus with apocrine cystadenoma are discussed and the various tumors which may arise within the nevus sebaceus are reviewed.     

Apocrine cystadenoma. An ultrastructural study.

An apocrine cystadenoma was examined with the electron microscope. Two types of cells were identified: secretory cells and basal (myoepithelial) cells. The secretory cells showed abundant granules that had the features of lipid droplets. The lumen of the cyst contained fragments of cytoplasm that appeared to be detached from the apical portions of the secretory cells. This feature suggests an apocrine type of secretory mechanism involving decapitation of the apical parts of the cells. A merocrine type of secretion was also seen. The basal myoepithelial cells showed abundant cytoplasmic filaments, most of which appeared to be tonofilaments. These cells had fewer myofilaments than those seen in normal apocrine gland cells. Annulate lamellae were not seen in this case.     

Apocrine cystadenoma of the skin of the chest.

A black patient with an enlarging apocrine cystadenoma on the chest is presented herein. This location is very infrequent for this benign lesion. This is the second report of an apocrine cystadenoma in a black person.     

"Apocrine" poroma: review of the literature and case report

BACKGROUND: "Apocrine" poroma has recently been proposed as a new term to designate a distinctive benign skin neoplasm with differentiation toward the folliculosebaceous-apocrine unit. CASE REPORT: In support of alternative differentiation, a case of apocrine poroma is reported in a 73-year-old man. A nodule on the right upper abdomen, which was thought clinically to be seborrheic keratosis or basal cell epithelioma, was excised. HISTOLOGY: Histologically, this neoplasm heterogeniously consisted of poroma-like, sebaceous and follicular epithelial components. Since these components share the common embryologic origin of the folliculosebaceous-apocrine unit, this histologic pattern indicates apocrine differentiation of the tumor. CONCLUSION: This is an additional case to support the term "apocrine" poroma as a diagnosis.