腋窩淋巴結異位皮膚附屬器伴毛源性腫瘤1例報道_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

劉驊 ¹ , 賀亞敏 ² , 廖夏瑜 ¹ ,  金俊碩 ¹

1. ;
2. ;

Corresponding?author：

金俊碩, Email: lionshuo@sina.com

Keywords：

異位腺體; 腋窩; 淋巴結

DOI：

10.7507/1007-9424.202301010

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的總結腋下淋巴結異位皮膚附屬器伴毛源性腫瘤患者的診斷和治療經驗。方法回顧性收集上海交通大學醫學院附屬仁濟醫院南院區普外科收治的1例腋下淋巴結異位皮膚附屬器伴毛源性腫瘤患者的臨床和病理資料。結果患者為一63歲女性，因“捫及左側腋下腫塊且逐漸增大1⁺ 個月”就診。術前穿刺組織病理學活檢結果提示：皮膚附屬器伴毛源性分化腫瘤可能。采用手術完整切除腫塊，術后石蠟組織病理檢查結果：淋巴組織內增生的鱗狀上皮伴多發小囊腫形成；免疫組織化學染色結果：上皮樣細胞角蛋白（+），細胞角蛋白34βE12（+），雌激素受體（–），孕激素受體（–），人表皮生長因子受體2（–），Ki-67（10%+）。術后病理診斷：淋巴結內異位皮膚附屬器組織伴毛源性腫瘤形成。術后恢復順利，近期無復發。結論腋窩淋巴結異位腺體少見，異位皮膚附屬器伴毛源性腫瘤更罕見，此需與乳腺癌腋窩淋巴結轉移、副乳腺癌、纖維腺瘤等鑒別，完整手術切除為其主要治療手段。

Citation： 劉驊, 賀亞敏, 廖夏瑜, 金俊碩. 腋窩淋巴結異位皮膚附屬器伴毛源性腫瘤1例報道. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2023, 30(5): 608-610. doi: 10.7507/1007-9424.202301010 Copy

1.	Zhang WT, Wang YB, Ang Y, et al. Diagnosis of an extremely rare case of malignant adenomyoepithelioma in pleomorphic adenoma: a case report. World J Clin Cases, 2022, 10(14): 4648-4653.
2.	Virji SN, Vohra LM, Abidi SS, et al. Case report: axilla fibroadenoma—An atypical presentation. Ann Med Surg (Lond), 2022, 80: 104295. doi: doi: 10.1016/j.amsu.2022.104295.
3.	Shinaoka A, Nakahara R, Saeki M. The use of 33 MHz ultra-high-frequency ultrasonography for the evaluation of sweat glands in the axilla with osmidrosis. PLoS One, 2021, 16(5): e0251600.
4.	Wu J, Chen H, Dong J, et al. Axillary masses as clinical manifestations of male sweat gland carcinoma associated with extramammary Paget’s disease and accessory breast carcinoma: two cases report and literature review. World J Surg Oncol, 2022, 20(1): 109. doi: 10.1186/s12957-022-02570-w.
5.	鮑以嘉, 袁永熙. 腋窩部孤立性異位導管內乳頭狀瘤一例. 中華乳腺病雜志(電子版), 2016, 10(4): 252-254.
6.	Kleinschmidt-DeMasters BK, Rosenblum MK, Kerr JM, et al. Cystic sellar salivary gland-like lesions. Clin Neuropathol, 2020, 39(3): 115-125.
7.	Kinoshita H, Kashiwagi S, Teraoka H, et al. Intracystic papillary carcinoma of the male breast: a case report. World J Surg Oncol, 2018, 16(1): 15. doi: 10.1186/s12957-018-1318-5.
8.	La Macchia R, Stefanelli S, Lenoir V, et al. Pleomorphic adenoma originating from heterotopic salivary tissue of the upper neck: a diagnostic pitfall. Case Rep Otolaryngol, 2017, 2017: 5767396. doi: 10.1155/2017/5767396.
9.	年媛媛, 孟憲梅, 陳洪鎖, 等. 1 229例食管胃黏膜異位的臨床和組織學特點分析. 胃腸病學, 2021, 26(2): 112-115.
10.	Abdul Karim L, Kwon DH, Ozdemirli M. Salivary gland heterotopia in the gastroesophageal junction: a case series and review of the literature. Case Rep Gastrointest Med, 2018, 2018: 6078581. doi: doi: 10.1155/2018/6078581.
11.	Hanke R, Comba I, Henriquez R, et al. Salivary gland choristoma: a rare finding at the gastroesophageal junction. Cureus, 2020, 12(2): e7138. doi: 10.7759/cureus.7138.
12.	Humes RJ, Sadowksi BW, Long JO, et al. An odd place for acne: ectopic esophageal sebaceous glands. ACG Case Rep J, 2020, 7(11): e00465. doi: 10.14309/crj.0000000000000465.
13.	Li R, Zhang Q, Feng D, et al. Case report: Lymph node metastases of breast cancer and thyroid cancer encountered in axilla. Front Oncol, 2022, 12: 983996. doi: 10.3389/fonc.2022.983996.
14.	Hallak B, Kamel ME, Bouayed S, et al. Atypical localisation of pleomorphic adenoma issue from heterotopic salivary tissue in the supraclavicular region: diagnosis and management. BMJ Case Rep, 2020, 13(11): e237583. doi: 10.1136/bcr-2020-237583.
15.	王耀輝, 彭光銀, 劉春樣, 等. 乳腺癌伴腋窩淋巴結輸卵管內膜異位癥臨床病理觀察. 診斷病理學雜志, 2017, 24(10): 759-763.
16.	Sekine C, Kawase K, Yoshida K. Sentinel lymph node biopsy of primary apocrine sweat gland carcinoma of the axilla: a case report and review of the literature. Int J Surg Case Rep, 2020, 77: 122-125.
17.	Xie S, Li ZM, Li SJ, et al. Congenital bilateral ectopic parotid glands: case report and systematic review of the literatures. Gland Surg, 2021, 10(3): 1165-1170.
18.	Anakievski D, Malinova D. Heterotopic adrenal gland in undescendent testis—case report. Urol Case Rep, 2019, 27: 101008.

1. Zhang WT, Wang YB, Ang Y, et al. Diagnosis of an extremely rare case of malignant adenomyoepithelioma in pleomorphic adenoma: a case report. World J Clin Cases, 2022, 10(14): 4648-4653.
2. Virji SN, Vohra LM, Abidi SS, et al. Case report: axilla fibroadenoma—An atypical presentation. Ann Med Surg (Lond), 2022, 80: 104295. doi: doi: 10.1016/j.amsu.2022.104295.
3. Shinaoka A, Nakahara R, Saeki M. The use of 33 MHz ultra-high-frequency ultrasonography for the evaluation of sweat glands in the axilla with osmidrosis. PLoS One, 2021, 16(5): e0251600.
4. Wu J, Chen H, Dong J, et al. Axillary masses as clinical manifestations of male sweat gland carcinoma associated with extramammary Paget’s disease and accessory breast carcinoma: two cases report and literature review. World J Surg Oncol, 2022, 20(1): 109. doi: 10.1186/s12957-022-02570-w.
5. 鮑以嘉, 袁永熙. 腋窩部孤立性異位導管內乳頭狀瘤一例. 中華乳腺病雜志(電子版), 2016, 10(4): 252-254.
6. Kleinschmidt-DeMasters BK, Rosenblum MK, Kerr JM, et al. Cystic sellar salivary gland-like lesions. Clin Neuropathol, 2020, 39(3): 115-125.
7. Kinoshita H, Kashiwagi S, Teraoka H, et al. Intracystic papillary carcinoma of the male breast: a case report. World J Surg Oncol, 2018, 16(1): 15. doi: 10.1186/s12957-018-1318-5.
8. La Macchia R, Stefanelli S, Lenoir V, et al. Pleomorphic adenoma originating from heterotopic salivary tissue of the upper neck: a diagnostic pitfall. Case Rep Otolaryngol, 2017, 2017: 5767396. doi: 10.1155/2017/5767396.
9. 年媛媛, 孟憲梅, 陳洪鎖, 等. 1 229例食管胃黏膜異位的臨床和組織學特點分析. 胃腸病學, 2021, 26(2): 112-115.
10. Abdul Karim L, Kwon DH, Ozdemirli M. Salivary gland heterotopia in the gastroesophageal junction: a case series and review of the literature. Case Rep Gastrointest Med, 2018, 2018: 6078581. doi: doi: 10.1155/2018/6078581.
11. Hanke R, Comba I, Henriquez R, et al. Salivary gland choristoma: a rare finding at the gastroesophageal junction. Cureus, 2020, 12(2): e7138. doi: 10.7759/cureus.7138.
12. Humes RJ, Sadowksi BW, Long JO, et al. An odd place for acne: ectopic esophageal sebaceous glands. ACG Case Rep J, 2020, 7(11): e00465. doi: 10.14309/crj.0000000000000465.
13. Li R, Zhang Q, Feng D, et al. Case report: Lymph node metastases of breast cancer and thyroid cancer encountered in axilla. Front Oncol, 2022, 12: 983996. doi: 10.3389/fonc.2022.983996.
14. Hallak B, Kamel ME, Bouayed S, et al. Atypical localisation of pleomorphic adenoma issue from heterotopic salivary tissue in the supraclavicular region: diagnosis and management. BMJ Case Rep, 2020, 13(11): e237583. doi: 10.1136/bcr-2020-237583.
15. 王耀輝, 彭光銀, 劉春樣, 等. 乳腺癌伴腋窩淋巴結輸卵管內膜異位癥臨床病理觀察. 診斷病理學雜志, 2017, 24(10): 759-763.
16. Sekine C, Kawase K, Yoshida K. Sentinel lymph node biopsy of primary apocrine sweat gland carcinoma of the axilla: a case report and review of the literature. Int J Surg Case Rep, 2020, 77: 122-125.
17. Xie S, Li ZM, Li SJ, et al. Congenital bilateral ectopic parotid glands: case report and systematic review of the literatures. Gland Surg, 2021, 10(3): 1165-1170.
18. Anakievski D, Malinova D. Heterotopic adrenal gland in undescendent testis—case report. Urol Case Rep, 2019, 27: 101008.

Previous Article
6例完全3D腹腔鏡下肝門部膽管癌根治術圍手術期治療效果總結
Next Article
膽囊切除術后鈦夾移位至膽總管致急性胰腺炎1例報道

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

腋窩淋巴結異位皮膚附屬器伴毛源性腫瘤1例報道

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content