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病理高手进

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楼主 发表于 2012-03-01 17:57|举报|关注(0)
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 男性,60岁,臀部结节20年余来院就诊。2年前曾在外院切除,病理示:毛囊皮脂腺囊性错构瘤。术后复发。查体见:左侧臀部见大小不等的结节状皮损,柔软,子花生米至鸡蛋大小,挤压后部分可出乳白色分泌物。我的感觉像浅表脂肪瘤样痣。

  • 病理高手进图1
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    图4
  • 病理高手进图5
    图5

请各位老师看看,病理支持什么?

标签:病理
本帖最后由 weiguopfk 于 2012-05-04 06:45:58 编辑
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浅表脂肪瘤样痣

maguang9915 离线

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5 楼    发表于2012-03-04 18:37:25举报|引用
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 临床照片及病理

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maguang9915 离线

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2 楼    发表于2012-03-01 19:48:19举报|引用
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 Nevus lipomatosus superficialis (NLS) is an uncommon hamartomatous lesion of the skin characterized by the presence of clusters of mature fat cells among the collagen bundles of the dermis. Usually, the number of adnexal structures is reduced in NLS as compared to the normal adjacent skin, but their morphology is not altered. Nevertheless, in some instances, associated pilar abnormalities have been reported. We here report 2 cases of NLS with disorganized pilosebaceous units. The follicular structures were dilated and showed infundibular type keratinization and there were numerous mature sebaceous lobules radiating from them resembling the histology of a folliculosebaceous cystic hamartoma (FSCH) or a sebaceous trichofolliculoma. Only 2 cases of NLS with FSCH have been previously reported. Our cases represent examples of a very rare hamartomatous cutaneous lesion composed of mesenchymal and epithelial components.

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