| 恶性黑色素瘤误诊为隆突性皮肤纤维肉瘤分析 |
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| 引用本文： | 王晓鸿,苟新敏,郑燕璇,易先平.恶性黑色素瘤误诊为隆突性皮肤纤维肉瘤分析[J].中国实用医药,2011,6(25):38-39. |
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| 作者姓名： | 王晓鸿 苟新敏 郑燕璇 易先平 |
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| 作者单位： | 广东珠海中山大学附属第五医院病理科,519000 |
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| 摘 要： | 目的探讨皮肤恶性黑色素瘤误诊的原因。方法对1例皮肤恶性黑色素瘤误诊为隆突性皮肤纤维肉瘤的临床资料进行回顾性分析。结果左下肢皮肤肿物的组织学以梭形细胞为主,呈车辐状排列,无明显的色素沉着,与隆突性皮肤纤维肉瘤极为相似,但是免疫组织化学染色结果为:瘤细胞S-00、HMB-45及Melan-A阳性,诊断为皮肤恶性黑色素瘤。结论恶性黑色素瘤的临床表现复杂,缺乏特异性,组织学表现多样,形态复杂,诊断时应详细了解病史,认真观察切片,加以辅助检查,以减少误诊。
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| 关 键 词： | 恶性黑色素瘤 误诊 隆突性皮肤纤维肉瘤 组织学 免疫组织化学 |
The clinical analysis of cutaneous malignant melanoma misdiagnosed dermatofibrosarcoma protuberans sarcoma |
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| WANG Xiao-hong,GOU Xin-ming,ZHENG Yan-xuan,et al..The clinical analysis of cutaneous malignant melanoma misdiagnosed dermatofibrosarcoma protuberans sarcoma[J].China Practical Medical,2011,6(25):38-39. |
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| Authors: | WANG Xiao-hong GOU Xin-ming ZHENG Yan-xuan |
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| Institution: | WANG Xiao-hong,GOU Xin-ming,ZHENG Yan-xuan,et al.Department of Pathology,The Fifth Affiliated Hospital of SunYat-sen University,Zhuhai 519000,China |
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| Abstract: | Objective To investigate misdiagnosis reasons of the cutaneous malignant melanoma.Methods One case of cutaneous malignant melanoma misdiagnosed as dermatofibrosarcoma protuberans sarcoma were retrospectively analyzed.Results The left lower extremity skin tumor histology to the main spindle cells,arranged like spokes were no obvious pigmentation,sarcoma and dermatofibrosarcoma protuberans were very similar,but the results of immunohistochemical staining:the tumor cells S-00,HMB-45 and Melan-A positive diagno... |
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| Keywords: | Malignant melanoma Misdiagnosed Dermatofibrosarcoma protuberans sarcoma Histology Immunohistochemistry |
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