中国麻风皮肤病杂志 ›› 2026, Vol. 42 ›› Issue (1): 39-41.doi: 10.12144/zgmfskin202601039

• 临床研究 • 上一篇    下一篇

误诊为瘢痕疙瘩的皮肤肿瘤三例

李慧杰1,2,焦雨竹1,2,刘永霞1,2,杨青1,2   

  1. 1山东第一医科大学附属皮肤病医院，山东济南，250022； 2山东省皮肤病性病防治研究所，山东济南，250022
  • 出版日期:2026-01-15 发布日期:2026-01-15

Three cases of skin tumors misdiagnosed as keloids

LI Huijie1,2, JIAO Yuzhu1,2, LIU Yongxia1,2, YANG Qing1,2   

  1. 1 Dermatology Hospital of Shandong First Medical University, Jinan 250022, China; 2 Shandong Provincial Institute of Dermatology and Venereology, Shandong Academy of Medical Sciences, Jinan 250022, China
  • Online:2026-01-15 Published:2026-01-15

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摘要： 3例患者皮损均为淡红色丘疹、结节，初诊为瘢痕疙瘩，治疗无效。至我院就诊后，行组织病理检查，3例患者病理特征分别符合皮肤平滑肌瘤、透明细胞棘皮瘤和隆突性皮肤纤维肉瘤，均予手术切除。本文对以上3个病例进行总结并分析其误诊原因，以期为临床规避该类疾病的误诊提供借鉴。

关键词: 瘢痕疙瘩, 皮肤平滑肌瘤, 透明细胞棘皮瘤, 隆突性皮肤纤维肉瘤

Abstract: The skin lesions of the 3 patients were all pale red papules and nodules with smooth surfaces and hard textures. They were initially diagnosed as keloids, but the treatment proved ineffective. After being admitted to our hospital, histopathological examinations were performed. The pathological features of the 3 patients were consistent with cutaneous leiomyoma, clear cell acanthoma, and dermatofibrosarcoma protuberans, respectively, and all patients underwent surgical resection. This paper summarizes the above 3 cases and analyzes the causes of misdiagnosis, aiming to provide a reference for clinically avoiding misdiagnosis of such diseases.

Key words: keloid, cutaneous leiomyomas, clear cell acanthoma, dermatofibrosarcoma protuberans