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題 名 | Reddish, Firm, Asymptomatic Nodules on the Peri-Umbilical Area of a 67-year-old Woman=一個67歲女性肚臍周圍的紅色、堅硬、無症狀結節 |
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作 者 | 洪宸熙; 楊國材; 陳洋源; | 書刊名 | 中華皮膚科醫學雜誌 |
卷 期 | 27:1 2009.03[民98.03] |
頁 次 | 頁74-75 |
分類號 | 415.7 |
關鍵詞 | 皮膚; 結節; |
語 文 | 英文(English) |
英文摘要 | A 67-year-old woman presented with abdominal fullness and cramping pain, poor appetite and hiccup for more than 10 days. Several reddish, fi rm, asymptomatic nodules on the peri-umbilical area (Fig. 1) were also noted. Biopsy of the umbilical nodule showed that the dermis was diffusely infi ltrated by ductal and tubular structures. A grenz zone was evident and the epidermis was relatively spared (Fig. 2A). In higher magnifi cation, many irregularly shaped glandular structures infiltrate among the collagen bundles. The tubules were composed of pleomorphic, hyperchromatic cells with high nuclear to cytoplasm ratio. Some lumens shared a common wall indicating lost of polarity (Fig. 2B). Immunohistochemical staining showed diffuse positive for cytokeratin 7 (CK7), focally positive for carcinoembryonic antigen (CEA), and negative for cytokeratin 20 (CK20). We also arranged panendoscopy and colonscopy, and both of the biopsies revealed adenocarcinoma. The abdominal echo revealed multiple heterogenous hypoechoic nodules over both lobes of liver and spleen. Panendoscopy showed a smooth protrusion into the gastric mucosa, suggesting compression by a external mass. Computed tomography (CT) scan of the abdomen revealed an irregular soft tissue mass located in the left upper abdomen with indistinct borders and multiple metastasis. The largest tumor was located at the pancreatic tail (Fig. 3). |
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