中国麻风皮肤病杂志 ›› 2026, Vol. 42 ›› Issue (11): 802-804.doi: 10.12144/zgmfskin202611802

• 病例报告 • 上一篇    下一篇

皮肤支气管源性囊肿误诊为表皮囊肿一例

李昕蔚1,郭乘达2,胡焕荣1,史雅琼1,贾浩彤1,刘文静3,李倩1   

  1. 1河北医科大学第三医院皮肤科，河北石家庄，050000；2河北医科大学第三医院心血管内科，河北石家庄，050000；3河北中医院大学附属第一医院病理科，河北石家庄，050011
  • 出版日期:2026-11-15 发布日期:2026-10-29

Cutaneous bronchogenic cyst misdiagnosed as epidermoid cyst: a case report

LI Xinwei1, GUO Chengda2, HU Huanrong1, SHI Yaqiong1, JIA Haotong1, LIU Wenjing3, LI Qian1   

  1. 1 Department of Dermatology, the Third Hospital of Hebei Medical University, Shijiazhuang 050000, China; 2 Department of Cardiology, the Third Hospital of Hebei Medical University, Shijiazhuang 050000, China; 3 Department of Pathology, Hebei University of Chinese Medicine First Affiliated Hospital, Shijiazhuang 050011, China
  • Online:2026-11-15 Published:2026-10-29

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摘要： 患者，男，11岁，前胸皮肤肿物10年。皮损初始伴皮肤针尖样窦道口，外院激光治疗后溢脓并形成紫红色结节，初诊为表皮囊肿。本次就诊前胸可见一卵圆形紫红色丘疹，表面光滑，触之质软，丘疹正下方可触及一类圆形质软囊肿，囊肿位置随体位变化。超声示胸壁脂肪层 2.7 cm×2.3 cm×0.9 cm 囊性回声，边界清晰，存在窦道连通表皮，囊壁周边少量血流信号。患者行手术切除治疗，术后病理确诊为皮肤支气管源性囊肿。

关键词: 皮肤支气管源性囊肿, 儿童, 前胸, 超声检查

Abstract: An 11-year-old male patient with a 10-year history of anterior chest cutaneous mass. The primary lesion was initially accompanied by a pinhole sinus opening on the skin. After laser therapy at an outside hospital, pus discharge occurred and a purplish-red nodule developed, which was initially misdiagnosed as an epidermal cyst. Dermatological examination revealed an oval, smooth, soft purplish-red nodule on the anterior chest. A round, soft cyst was palpable beneath the nodule, and the position of the cyst shifted with body posture. Ultrasonography demonstrated a well-circumscribed cystic echo measuring 2.7 cm × 2.3 cm × 0.9 cm within the anterior chest adipose layer, communicating with the epidermis via a sinus tract with slight peripheral blood flow signals around the cyst wall. Complete surgical excision was performed. Postoperative pathological examination identified cutaneous bronchogenic cyst.

Key words: cutaneous bronchogenic cyst, child, anterior chest, ultrasonography