頁籤選單縮合
題 名 | 具柄型惡性黑色瘤--病例報告=Pedunculated Malignant Melanoma--A Case Report |
---|---|
作 者 | 李漢傑; 陳國熏; 張瑞朝; 余幸司; 林相如; | 書刊名 | 中華皮膚科醫學雜誌 |
卷 期 | 18:2 2000.06[民89.06] |
頁 次 | 頁163-168 |
分類號 | 415.691 |
關鍵詞 | 具柄型惡性黑色瘤; Pedunculated malignant melanoma; Malignant melanoma; |
語 文 | 中文(Chinese) |
中文摘要 | 具柄型惡性黑色瘤臨床上極為罕見,過去從未在台灣報告過,其預後常較其它型態之黑色瘤為差。我們報告一49歲女性病患,主訴在其下背部薦骨處出現一個向外凸出之腫瘤約一年之久,臨床所見為一2.5 × 1.5 × 1.5公分表面粗糙之紅棕色腫瘤,局部並有潰瘍而形成之痂皮,摸起來微軟無壓痛感。此腫瘤和其下皮膚以一個1.5公分寬的柄部相連,並有局部腹股溝淋巴結病變。我們把整個皮膚腫瘤全部切除作病理切片檢查。在H&E染色下真皮層可見大塊密集以類上皮細胞為主之腫瘤細胞充滿整個向外凸出的腫瘤中。以Fontana-Masson染色見多處區域呈現melanin色素,免疫組織化學染色檢查見vimentin、S-100、HMB-45均呈陽性反應,cytokeratin則為陰性反應。據此,吾人診斷為具柄型惡性黑色瘤,並回顧文獻對此病作一簡介。 |
英文摘要 | The pedunculated malignant melanoma is very rare and has not been reported previously in Taiwan. It often presents with most virulent clinical course than other forms of melanoma. A 49-year-old female had a rapidly growing erythematous tumor on the lower back for one year. Examination revealed a dark red, coarse surface, soft tumor with focal serum crust, 2.5 × 1.5 × 1.5 cm in size attached to the underlying depigmented patch of skin by a narrow-based pedicle of 1.5 cm in width. Regional inguinal lymph nodes were palpable. The lesion was totally excised. Histopathology revealed a pedunculated malignant melanoma. Fontana-Masson silver staining demonstrate scattered melanin pigments. Immnuohistochemically, the tumor cells were positive for vimentin, S-100 protein and HMB-45, and negative for cytokeratin. |
本系統中英文摘要資訊取自各篇刊載內容。