中国麻风皮肤病杂志 ›› 2026, Vol. 42 ›› Issue (2): 127-131.doi: 10.12144/zgmfskin202602127

• 病例报告 • 上一篇    下一篇

慢性砷暴露相关多发性皮肤肿瘤一例

张猛猛*,吴雪菁子*,宋继权,蒋思   

  1. 武汉大学中南医院,湖北武汉,430071 *共同第一作者
  • 出版日期:2026-02-15 发布日期:2026-01-28

Multiple cutaneous tumors associated with chronic arsenic exposure: a case report

ZHANG Mengmeng*, WU Xuejingzi*, SONG Jiquan, JIANG Si   

  1. Zhongnan Hospital of Wuhan University, Wuhan 430071, China *Co-first authors
  • Online:2026-02-15 Published:2026-01-28

摘要: 长期暴露于砷环境的人群,皮肤肿瘤发病风险显著升高,常见类型包括鲍温病、鳞状细胞癌及基底细胞癌。本文报道1例38岁男性患者,少年时期因治疗骨髓炎曾口服含砷剂中药长达1年,20年后同时罹患皮肤Merkel细胞癌、鳞状细胞癌、鲍温病及砷角化病。砷暴露病史或与多部位皮肤肿瘤的发生存在关联。

关键词: Merkel细胞癌, 鲍温病, 鳞状细胞癌, 砷角化病,

Abstract: Individuals with long-term arsenic environmental exposure have a significantly increased risk of developing skin tumors, with common types including Bowen's disease, squamous cell carcinoma, and basal cell carcinoma. We report a 38-year-old male who had taken arsenic-containing traditional Chinese medicine orally for 1 year during adolescence to treat osteomyelitis. Twenty years later, he concurrently developed cutaneous Merkel cell carcinoma, squamous cell carcinoma, Bowen's disease, and arsenical keratosis. A history of arsenic exposure may be associated with the development of multi-site skin tumors.

Key words: Merkel cell carcinoma, Bowen's disease, squamous cell carcinoma, arsenical ketatosis, arsenic