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Kaposi肉瘤于1872年由Kaposi首先描述。该瘤的发生有一定的地区性和种族性。国外主要见于欧美的犹太人,拉丁血统及非洲黑人。国内极少见,已报告的病例主要发生在新疆地区的维吾尔族,汉族罕见。我们确诊1例并做了超微结构观察和Ⅷ因子相关抗原免疫组化检查,报告如下。 刘某,男性,44岁,四川籍,汉族。右脚长结节3~#月。3月前患者右脚内踝下方出现黄豆大结节,发痒,无明显疼痛,从一个发展到数个,逐渐长大。结节隆起于皮肤,呈暗红色或紫红色。曾在某医院切除一个结节活检,诊断“炎性肉芽组织”。数天后,结节数目又有增加并发展至左足部。在本市第一人民医院再次活检,考虑“恶性上皮样血管瘤”。于1987年10月12日转重庆医科大学附一院外科治疗。
Kaposi’s sarcoma was first described by Kaposi in 1872. The occurrence of this tumor has a certain regional and ethnic nature. Foreign mainly seen in Europe and the United States of the Jews, Latin descent and black Africans. It is rare in China. The reported cases mainly occurred in Uygurs in Xinjiang, and Hans are rare. We diagnosed one patient and performed ultrastructural observation and VIII factor-associated antigen immunohistochemistry. The report is as follows. Liu, male, 44 years old, Sichuan nationality, Han nationality. Right foot long nodules 3~# months. Three months before the patient’s right foot medial malleolus appeared soy nodules, itching, no obvious pain, from one to several, and gradually grow up. Nodules bulge on the skin and appear dark red or purple. A nodular biopsy was performed at a hospital to diagnose “inflammatory granulation tissue.” A few days later, the number of nodules increased again and developed to the left foot. In the city’s First People’s Hospital again biopsy, consider “malignant epithelioid hemangioma.” On October 12, 1987, he was transferred to the First Affiliated Hospital of Chongqing Medical University for surgical treatment.