中国麻风皮肤病杂志 ›› 2019, Vol. 35 ›› Issue (4): 197-200.doi: 10.12144/zgmfskin201904197

• 论著 • 上一篇    下一篇

表皮囊肿1007例临床及病理分析

羊熠1  张丽超2  杨军2  毕鸣晔2  黄渊柏2   

  1. 1江阴市第三人民医院皮肤科，江苏江阴，214400
    2南京医科大学附属无锡人民医院皮肤科，江苏无锡，214023
  • 出版日期:2019-04-15 发布日期:2019-05-17
  • 通讯作者: 黄渊柏，E-mail: hybseu@126.com

Clinical and pathological analysis of epidermal cyst in 1007 cases

YANG Yi1, ZHANG Lichao2,YANG Jun2, BI Mingye2, HUANG Yuanbo2   

  1. 1. Department of Dermatology and Venereology, Jiangyin 3th Peoples Hospital, Jiangyin 214400, China; 
    2. Department of Dermatology and Venereology, Wuxi Peoples Hospital of Nanjing Medical University, Wuxi 214023, China
  • Online:2019-04-15 Published:2019-05-17
  • Contact: HUANG Yuanbo, E-mail： hybseu@126.com

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摘要： 目的：分析表皮囊肿的临床及病理特点。方法：收集并分析2008年1月至2018年5月于无锡市人民医院确诊为表皮囊肿的1007例患者临床和病理资料。结果：1007例患者中男680例，女327例，平均年龄为(37.5±17.9)岁，21~50岁患者较其它年龄多发。皮损位于头面颈710例，发生破裂97例（13.7%）;躯干部179例，发生破裂23例（12.8%）;四肢96例，发生破裂9例（9.4%）。组织病理示伴慢性炎性改变者101例，肉芽肿性炎89例，伴钙化8例，伴黑素细胞痣3例。1007例患者中，临床诊断为表皮囊肿456例（45.3%），320例（31.8%）被误诊为皮脂腺囊肿。结论：表皮囊肿多发于青中年男性。头面及躯干部多见。表皮囊肿临床误诊率达54.7%，最易误诊为皮脂腺囊肿。

关键词: 表皮囊肿, 临床, 病理

Abstract: Objective: To analyze the clinical and pathological characteristics of epidermal cyst. Methods: Collect and analyze the clinical and pathological data of 1007 patients who were diagnosed as epidermal cyst in Wuxi people's hospital from January 2008 to May 2018. Results: There were 680 male and 327 female in 1007 cases. The average age of 1007 patients was 37.5±17.9 years old and most patients occurred from 21 to 50 years old age. There were 680 male and 327 female. The lesions located on head, face and neck in 710 patients, on trunk in 179, limbs in 96 and the lesions fractured in 97 patients (13.7%), 23(12.8%), 9 (9.4%), respectively. Biopsy showed chronic inflammatory changes in 101 cases, granulomatous inflammation in 89 cases, calcification in 8 cases, pigmented naevus in 3 cases. The diagnosis of  epidermal cyst was made in 456 patients and the misdiagnosis of sebaceous cyst in 320 patients was made in clinic primary diagnosis. Conclusion: Epidermal cysts usually occurs in youth to middle aged male. Head, face and trunk was the predilection sites. Misdiagnosis rate of epidermal cysts was 54.7% and the most misdiagnosis is sebaceous cysts.

Key words: epidermal cyst, clinical, pathological