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摘要


一位36 歲女性來門診求診,左邊乳頭部位出現一個硬而不痛的皮下結節,此皮膚病灶發現已近兩個月,病灶沒有分泌物或潰瘍,腋下淋巴結理學檢查並未發現腫塊。組織病理學診斷為微囊腫性附屬器癌。此病人接受廣泛性全切除手術,並於腋下前哨性淋巴結檢查呈現陰性。手術後病人十六個月的追蹤沒有復發的現象。此處我們報告一個發生在不尋常位置的微囊腫性附屬器癌。我們強調,當一年輕女性出現乳頭結節或乳房腫塊時,必須將微囊腫性附屬器癌列入鑑別診斷。(中華皮誌22 : 153 一158 , 2004 )

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並列摘要


A 36- year - old woman came to our OPD with presentation of a solitary, indurated, nonpainful subcutaneous plaque on the left nipple area for 2 months. There was neither discharge nor ulceration. Axillary¡¦s lymph node was not palpable. Histopathological examination directed the diagnosis to micro- cystic adnexal carcinoma. A wide excision was performed with negative margin. The preoperative and intraoperatove investigations of sentinel lymph node in axilla was not involved. No recurrence was noticed in 16- month follow - up. We represent a case of microcystic adnexal carcinoma in an unusual location. Diagnosis of microcystic adnexal carcinoma should be taken into account in a nipple nodule or abreast lump. (Dermatol Sinica22: 153-158, 2004)

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