临床皮肤科杂志
臨床皮膚科雜誌
림상피부과잡지
JOURNAL OF CLINICAL DERMATOLOGY
2010年
5期
297-298
,共2页
刘金丽%张思平%赵政龙%胡白
劉金麗%張思平%趙政龍%鬍白
류금려%장사평%조정룡%호백
窦组织细胞增生症%淋巴结病
竇組織細胞增生癥%淋巴結病
두조직세포증생증%림파결병
histiocytosis,sinus%lymphadenopathy
报告1例窦组织细胞增生伴巨大淋巴结病.患者男,27岁.头皮、颈部、躯干部丘疹及结节半年,伴双侧颌下淋巴结肿大3个月.皮损组织病理检查示真皮内大量组织细胞增生,可见伸入运动.淋巴结组织病理检查示淋巴窦明显扩张,窦内可见大量组织细胞及伸人运动.免疫组化染色示S-100蛋白及CD68阳性,CD1a阴性.依据临床表现、组织病理改变和免疫组化检查,确诊为窦组织细胞增生伴巨大淋巴结病.
報告1例竇組織細胞增生伴巨大淋巴結病.患者男,27歲.頭皮、頸部、軀榦部丘疹及結節半年,伴雙側頜下淋巴結腫大3箇月.皮損組織病理檢查示真皮內大量組織細胞增生,可見伸入運動.淋巴結組織病理檢查示淋巴竇明顯擴張,竇內可見大量組織細胞及伸人運動.免疫組化染色示S-100蛋白及CD68暘性,CD1a陰性.依據臨床錶現、組織病理改變和免疫組化檢查,確診為竇組織細胞增生伴巨大淋巴結病.
보고1례두조직세포증생반거대림파결병.환자남,27세.두피、경부、구간부구진급결절반년,반쌍측합하림파결종대3개월.피손조직병리검사시진피내대량조직세포증생,가견신입운동.림파결조직병리검사시림파두명현확장,두내가견대량조직세포급신인운동.면역조화염색시S-100단백급CD68양성,CD1a음성.의거림상표현、조직병리개변화면역조화검사,학진위두조직세포증생반거대림파결병.
A case of sinus histiocytosis with massive lymphadenopathy is reported. A 27-year-old male patient presented with papules and nodules on his scalp, neck and trunk for six months and enlargement of submandibular lymph nodes for three months. Histopathologic examination showed that in the dermis there were many pale-staining histiocytes with emperipolesis and in lymph node there were dilated sinuses filled with many histiocytes with emperipolesis. Immunohistochemical staining showed that these histiocytes were positive for S-100 protein and CD68 but negative for CDla. The patient was diagnosed as sinus histiocytosis with massive lymphadenopathy based on clinical data, histopathology and immunohistochemistry.