中国麻风皮肤病杂志 ›› 2019, Vol. 35 ›› Issue (7): 391-393.doi: 10.12144/zgmfskin201907391

• 论著 • 上一篇    下一篇

成人单发黄色肉芽肿17例临床特征及病理分析

董灵玉  姚琪  张健  郭春芳   

  1. 沈阳市第七人民医院，辽宁沈阳，110003
  • 出版日期:2019-07-15 发布日期:2019-07-11
  • 通讯作者: 郭春芳，E-mail: 18940133002@126.com

Clinical features and histopathological analysis of 17 patients with adult xanthogranuloma

DONG Lingyu, YAO Qi, ZHANG Jian, GUO Chunfang   

  1. The Seventh People’s Hospital of Shenyang, Shenyang 110003,China
  • Online:2019-07-15 Published:2019-07-11
  • Contact: GUO Chunfang, E-mail: 18940133002@126.com

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摘要： 回顾分析我院诊治的17例成人黄色肉芽肿的临床资料，17例患者（男10例，女7例）发病年龄18~66岁，均为单发皮损，位于面部13例，四肢3例，头皮1例，尚无皮肤以外器官受累。组织病理表现为表皮轻度萎缩变薄，真皮内可见组织细胞、泡沫细胞、多核巨细胞及多种炎细胞浸润，偶可见梭形细胞。16例患者行手术切除，随访6个月无复发。1例患者未经治疗，皮损逐渐减小。

关键词: 成人黄色肉芽肿, 单发, 临床表现, 病理特点

Abstract: The data of 17 cases with adult xanthogranuloma was retrospectively analyzed. There were 10 males and 7 females, with the age at onset from 18 to 66 years old. All the lesions were single papule and on the face in 13 cases, on the limbs in 3 patients and on the scalp in one. No extracutaneous lesions were found. Histopathology showed mild atrophy of the epidermis, infiltration of histiocytes, foam cells, multinuclear giant cell, inflammatory cells and fusiform cells in the dermis. The lesions were removed by surgical excision and there was no recurrence after 6-months follow up. The size of the lesion decreases gradually without treatment in one patient.

Key words: adult xanthogranuloma, single lesion, clinical features, pathologic features