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患者女,73岁。左面部角状增生物半年。皮肤科检查:左耳前见1个疣状增生物,呈角状,高约1.2 cm,基底直径宽约0.5 cm。表面尖端似角化状,硬,中下部约显皮色。整个病灶硬度如鼻尖,无触痛。基底周边可见约0.1 cm的淡红皮损。边界清,与皮下组织无黏连,可摇动。治疗采用病灶组织梭形切除术,皮损组织病理:上皮细胞和基底细胞异形增生,病理性核分裂象多见,并可见角珠。套状角状物为角化物伴坏死。临床结合病理检查,诊断:面部鳞癌伴皮角。
Female patient, 73 years old. Left facial horn proliferation of six months. Dermatology examination: see a pre-verrucous accretion of the left ear, angular, height of about 1.2 cm, the basal diameter of about 0.5 cm wide. The surface of the tip is like keratosis, hard, in the lower part of the significant skin color. The entire lesion hardness such as nose tip, no tenderness. Around the base of the visible red light lesions of about 0.1 cm. Clear border, no adhesion with the subcutaneous tissue, can be shaken. The treatment of fusiform tissue fistula, histological lesions: epithelial cells and basal cell dysplasia, pathological mitosis more common, and the corner beads can be seen. Set of horn-like keratosis with necrosis. Clinical combined with pathological examination, diagnosis: facial squamous cell carcinoma with skin angle.