患者,男性,29岁,农民。主诉:头顶部无痛性肿块红枣大小逐渐长大2年,经中西药物治疗无效。1982年4月在当地县医院诊断纤维瘤手术切除,未作病理检查。术后2个月复发生长较快即来我院就诊。查体:发育营养欠佳,浅表淋巴结不肿大,头顶部约有3×2cm肿块,有术迹,质坚硬,表面不平,不活动与皮肤关系紧密,皮色正常,界线清楚。心肺(—),腹平软未发现肿物,肝脾未触及。实验室检查:血红蛋白13g/dl,红细胞380万,白细胞总数8,610,中性71%,淋巴27%,单核2%,血沉11mm/第一小时。碱性磷酸酶:10单位。胸部照片:右肺上部可见钙化点。于1982年6月28日在局部麻醉下手术切除,取梭形切口,切开皮肤皮下组织,见肿物标本呈微白色界限清楚易分离,出血不多。病理报告:毛母质癌。毛母质癌或称毛母质瘤,为来自毛囊毛母质细胞的良性肿瘤,由于切除后易复发,故应作局部恶性处理。此瘤位于皮肤深部单发结节,骨样坚 Patient, male, 29 years old, farmer. Chief complaint: Painless mass at the top of the head. The jujube grows up in size for 2 years and is not treated with Western medicine. In April 1982, fibroids were diagnosed at a local county hospital and no pathological examination was performed. After 2 months of recurrence and rapid growth, he came to our hospital for treatment. Examination: poor developmental nutrition, superficial lymph nodes are not swollen, the top of the head is about 3 × 2cm mass, there are traces of art, hard, uneven surface, inactive and skin closely, skin color is normal, the boundary is clear. Cardiopulmonary (-), abdomen soft no tumor was found, liver and spleen did not touch. Laboratory tests: hemoglobin 13 g/dl, erythrocytes 3.8 million, total white blood cells 8,610, neutral 71%, lymphoid 27%, mononuclear 2%, ESR 11 mm/first hour. Alkaline phosphatase: 10 units. Chest photos: Calcifications are visible in the upper right lung. On June 28, 1982, under local anesthesia, surgical resection was performed and a spindle-shaped incision was made. The subcutaneous tissue of the skin was incised. The specimen showed a slight white border and was easily separable. There was not much bleeding. Pathology report: hair matrix cancer. Maternal carcinoma, or hair follicle tumor, is a benign tumor derived from hair follicle hair follicle cells. Since it is easy to relapse after resection, it should be treated as a local malignancy. This tumor is located in the deep solitary nodule of the skin.