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摘要


毛鞘棘皮瘤為發生於頭頸部皮膚的良性毛囊腫瘤,於1978年由Mehregan和Brownstein首次提出命名描述。臨床上多出現在顏面上唇部位,以單一無痛性小腫塊的特徵表現,外表呈膚色,中央有一孔狀開口,內含角質物質堆積。在2003年3月,一中年女病患主訴右鼻前庭外側發現一小腫塊,經切片切除後,在組織學下發現有典型毛鞘棘皮瘤的特徵。由於此疾病在過去20多年來在耳鼻喉科的文獻上提出的病例數並不多,且罕見於鼻部,有時不易與其它頭頸部皮膚毛囊病變作區別,所以在此提出討論。

並列摘要


Pilar sheath acanthoma is a type of rare, benign tumor of the skin hair follicle and usually locates in the head and neck region. In 1978, Mebregan and Brownstein first reported several cases. Clinically, this tumor is a painless, skin-colored nodule with a central cavity containing accumulated keratinous material. It is often located on the upper lip or the face. In March of 2003, a middle-aged woman presented with a small, solitary nodule on the rim of her right nostril. After excision biopsy, the nodule showed histological characteristics typical of pilar sheath acanthoma. We present this case because reports of pilar sheath acanthoma have been rare in the otolaryngology literature over the past 20 years, and this tumor is occasionally difficult to differentiate from other skin hair follicle lesions.

延伸閱讀


  • Chiang, Y. C., Chen, M. Y., & Lee, F. P. (2008). 鼻部血管性平滑肌瘤. 台灣耳鼻喉頭頸外科雜誌, 43(6), 166-169. https://doi.org/10.6286/2008.43.6.166
  • 蘇穩發、何青吟、林清榮(1998)。鼻腔及鼻竇橫紋肌肉瘤中華民國耳鼻喉科醫學會雜誌33(3),244-249。https://doi.org/10.6286/1998.33.3.244
  • Liu, Y. P., Huang, J. K., Cheng, S. J., & Sheu, C. Y. (2002). 鼻中隔的神經鞘瘤:病例報告. 中華放射線醫學雜誌, 27(2), 79-82. https://www.airitilibrary.com/Article/Detail?DocID=10188940-200204-27-2-79-82-a
  • Wang, L. F., Tai, C. F., Chai, C. Y., Ho, K. Y., & Kuo, W. R. (2004). 鼻中隔之神經鞘瘤一病例報告. The Kaohsiung Journal of Medical Sciences, 20(3), 142-145. https://www.airitilibrary.com/Article/Detail?DocID=02575655-200403-20-3-142-145-a
  • Lin, C. J., Kang, B. H., Lu, S. T., Gao, H. W., & Wang, H. W. (2002). A Rare Cause of Unilateral Nasal Obstruction: Pleomorphic Adenoma of the Nasal Septum. Journal of Medical Sciences, 22(2), 91-93. https://www.airitilibrary.com/Article/Detail?DocID=10114564-200204-201305090051-201305090051-91-93

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