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患者男,1(6/12)岁。出生时发现包皮有一绿豆大硬结,近期缓慢增大,且包皮不能上翻而入院求治。查体:尿道口腹侧包皮皮下扪及一质软的包块,大小为06×0.7cm,无红肿,无压痛,表面光滑。入院后行包皮环切术,连同肿块一并切除送检。病检:包皮皮下可见直径0.7cm的囊肿,囊内为碎软豆渣样物,囊壁光滑,壁厚0.1cm。镜下;囊壁为复层鳞形上皮,可见清楚的角化层、颗粒层、棘细胞层及基底层细胞,部份为扁平上皮细胞;腔内为淡红色呈同心园状排列的角化物质。病理诊断:包皮表皮样囊肿。
Patient male, 1 (6/12) years old. Birth was found in the foreskin of a large sclerosis, the recent slow increase, and the foreskin can not turn on the hospital for treatment. Physical examination: urethral ventral foreskin subcutaneous palpable soft subcutaneous mass, the size of 06 × 0.7cm, no swelling, no tenderness, the surface is smooth. Circumcision surgery after admission, together with lump removal and submission. Disease examination: the foreskin can be seen under the skin diameter 0.7cm cysts, broken cytoplasm of bean dregs samples, wall smooth, wall thickness 0.1cm. Microscopically, the cyst wall was stratified squamous epithelium, showing clear keratinized layer, granular layer, spine cell layer and basal layer cells, some of which were flat epithelial cells; the cavity was pale red concentric circular arrangement of keratinization substance. Pathological diagnosis: foreskin epidermoid cyst.