腋窝淋巴结异位皮肤附属器伴毛源性肿瘤1例报道_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

刘骅 ¹ , 贺亚敏 ² , 廖夏瑜 ¹ ,  金俊硕 ¹

1. ;
2. ;

Corresponding author：

金俊硕, Email: lionshuo@sina.com

Keywords：

异位腺体; 腋窝; 淋巴结

DOI：

10.7507/1007-9424.202301010

Video：

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目的总结腋下淋巴结异位皮肤附属器伴毛源性肿瘤患者的诊断和治疗经验。方法回顾性收集上海交通大学医学院附属仁济医院南院区普外科收治的1例腋下淋巴结异位皮肤附属器伴毛源性肿瘤患者的临床和病理资料。结果患者为一63岁女性，因“扪及左侧腋下肿块且逐渐增大1⁺ 个月”就诊。术前穿刺组织病理学活检结果提示：皮肤附属器伴毛源性分化肿瘤可能。采用手术完整切除肿块，术后石蜡组织病理检查结果：淋巴组织内增生的鳞状上皮伴多发小囊肿形成；免疫组织化学染色结果：上皮样细胞角蛋白（+），细胞角蛋白34βE12（+），雌激素受体（–），孕激素受体（–），人表皮生长因子受体2（–），Ki-67（10%+）。术后病理诊断：淋巴结内异位皮肤附属器组织伴毛源性肿瘤形成。术后恢复顺利，近期无复发。结论腋窝淋巴结异位腺体少见，异位皮肤附属器伴毛源性肿瘤更罕见，此需与乳腺癌腋窝淋巴结转移、副乳腺癌、纤维腺瘤等鉴别，完整手术切除为其主要治疗手段。

Citation： 刘骅, 贺亚敏, 廖夏瑜, 金俊硕. 腋窝淋巴结异位皮肤附属器伴毛源性肿瘤1例报道. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2023, 30(5): 608-610. doi: 10.7507/1007-9424.202301010 Copy

1.	Zhang WT, Wang YB, Ang Y, et al. Diagnosis of an extremely rare case of malignant adenomyoepithelioma in pleomorphic adenoma: a case report. World J Clin Cases, 2022, 10(14): 4648-4653.
2.	Virji SN, Vohra LM, Abidi SS, et al. Case report: axilla fibroadenoma—An atypical presentation. Ann Med Surg (Lond), 2022, 80: 104295. doi: doi: 10.1016/j.amsu.2022.104295.
3.	Shinaoka A, Nakahara R, Saeki M. The use of 33 MHz ultra-high-frequency ultrasonography for the evaluation of sweat glands in the axilla with osmidrosis. PLoS One, 2021, 16(5): e0251600.
4.	Wu J, Chen H, Dong J, et al. Axillary masses as clinical manifestations of male sweat gland carcinoma associated with extramammary Paget’s disease and accessory breast carcinoma: two cases report and literature review. World J Surg Oncol, 2022, 20(1): 109. doi: 10.1186/s12957-022-02570-w.
5.	鲍以嘉, 袁永熙. 腋窝部孤立性异位导管内乳头状瘤一例. 中华乳腺病杂志(电子版), 2016, 10(4): 252-254.
6.	Kleinschmidt-DeMasters BK, Rosenblum MK, Kerr JM, et al. Cystic sellar salivary gland-like lesions. Clin Neuropathol, 2020, 39(3): 115-125.
7.	Kinoshita H, Kashiwagi S, Teraoka H, et al. Intracystic papillary carcinoma of the male breast: a case report. World J Surg Oncol, 2018, 16(1): 15. doi: 10.1186/s12957-018-1318-5.
8.	La Macchia R, Stefanelli S, Lenoir V, et al. Pleomorphic adenoma originating from heterotopic salivary tissue of the upper neck: a diagnostic pitfall. Case Rep Otolaryngol, 2017, 2017: 5767396. doi: 10.1155/2017/5767396.
9.	年媛媛, 孟宪梅, 陈洪锁, 等. 1 229例食管胃黏膜异位的临床和组织学特点分析. 胃肠病学, 2021, 26(2): 112-115.
10.	Abdul Karim L, Kwon DH, Ozdemirli M. Salivary gland heterotopia in the gastroesophageal junction: a case series and review of the literature. Case Rep Gastrointest Med, 2018, 2018: 6078581. doi: doi: 10.1155/2018/6078581.
11.	Hanke R, Comba I, Henriquez R, et al. Salivary gland choristoma: a rare finding at the gastroesophageal junction. Cureus, 2020, 12(2): e7138. doi: 10.7759/cureus.7138.
12.	Humes RJ, Sadowksi BW, Long JO, et al. An odd place for acne: ectopic esophageal sebaceous glands. ACG Case Rep J, 2020, 7(11): e00465. doi: 10.14309/crj.0000000000000465.
13.	Li R, Zhang Q, Feng D, et al. Case report: Lymph node metastases of breast cancer and thyroid cancer encountered in axilla. Front Oncol, 2022, 12: 983996. doi: 10.3389/fonc.2022.983996.
14.	Hallak B, Kamel ME, Bouayed S, et al. Atypical localisation of pleomorphic adenoma issue from heterotopic salivary tissue in the supraclavicular region: diagnosis and management. BMJ Case Rep, 2020, 13(11): e237583. doi: 10.1136/bcr-2020-237583.
15.	王耀辉, 彭光银, 刘春样, 等. 乳腺癌伴腋窝淋巴结输卵管内膜异位症临床病理观察. 诊断病理学杂志, 2017, 24(10): 759-763.
16.	Sekine C, Kawase K, Yoshida K. Sentinel lymph node biopsy of primary apocrine sweat gland carcinoma of the axilla: a case report and review of the literature. Int J Surg Case Rep, 2020, 77: 122-125.
17.	Xie S, Li ZM, Li SJ, et al. Congenital bilateral ectopic parotid glands: case report and systematic review of the literatures. Gland Surg, 2021, 10(3): 1165-1170.
18.	Anakievski D, Malinova D. Heterotopic adrenal gland in undescendent testis—case report. Urol Case Rep, 2019, 27: 101008.

1. Zhang WT, Wang YB, Ang Y, et al. Diagnosis of an extremely rare case of malignant adenomyoepithelioma in pleomorphic adenoma: a case report. World J Clin Cases, 2022, 10(14): 4648-4653.
2. Virji SN, Vohra LM, Abidi SS, et al. Case report: axilla fibroadenoma—An atypical presentation. Ann Med Surg (Lond), 2022, 80: 104295. doi: doi: 10.1016/j.amsu.2022.104295.
3. Shinaoka A, Nakahara R, Saeki M. The use of 33 MHz ultra-high-frequency ultrasonography for the evaluation of sweat glands in the axilla with osmidrosis. PLoS One, 2021, 16(5): e0251600.
4. Wu J, Chen H, Dong J, et al. Axillary masses as clinical manifestations of male sweat gland carcinoma associated with extramammary Paget’s disease and accessory breast carcinoma: two cases report and literature review. World J Surg Oncol, 2022, 20(1): 109. doi: 10.1186/s12957-022-02570-w.
5. 鲍以嘉, 袁永熙. 腋窝部孤立性异位导管内乳头状瘤一例. 中华乳腺病杂志(电子版), 2016, 10(4): 252-254.
6. Kleinschmidt-DeMasters BK, Rosenblum MK, Kerr JM, et al. Cystic sellar salivary gland-like lesions. Clin Neuropathol, 2020, 39(3): 115-125.
7. Kinoshita H, Kashiwagi S, Teraoka H, et al. Intracystic papillary carcinoma of the male breast: a case report. World J Surg Oncol, 2018, 16(1): 15. doi: 10.1186/s12957-018-1318-5.
8. La Macchia R, Stefanelli S, Lenoir V, et al. Pleomorphic adenoma originating from heterotopic salivary tissue of the upper neck: a diagnostic pitfall. Case Rep Otolaryngol, 2017, 2017: 5767396. doi: 10.1155/2017/5767396.
9. 年媛媛, 孟宪梅, 陈洪锁, 等. 1 229例食管胃黏膜异位的临床和组织学特点分析. 胃肠病学, 2021, 26(2): 112-115.
10. Abdul Karim L, Kwon DH, Ozdemirli M. Salivary gland heterotopia in the gastroesophageal junction: a case series and review of the literature. Case Rep Gastrointest Med, 2018, 2018: 6078581. doi: doi: 10.1155/2018/6078581.
11. Hanke R, Comba I, Henriquez R, et al. Salivary gland choristoma: a rare finding at the gastroesophageal junction. Cureus, 2020, 12(2): e7138. doi: 10.7759/cureus.7138.
12. Humes RJ, Sadowksi BW, Long JO, et al. An odd place for acne: ectopic esophageal sebaceous glands. ACG Case Rep J, 2020, 7(11): e00465. doi: 10.14309/crj.0000000000000465.
13. Li R, Zhang Q, Feng D, et al. Case report: Lymph node metastases of breast cancer and thyroid cancer encountered in axilla. Front Oncol, 2022, 12: 983996. doi: 10.3389/fonc.2022.983996.
14. Hallak B, Kamel ME, Bouayed S, et al. Atypical localisation of pleomorphic adenoma issue from heterotopic salivary tissue in the supraclavicular region: diagnosis and management. BMJ Case Rep, 2020, 13(11): e237583. doi: 10.1136/bcr-2020-237583.
15. 王耀辉, 彭光银, 刘春样, 等. 乳腺癌伴腋窝淋巴结输卵管内膜异位症临床病理观察. 诊断病理学杂志, 2017, 24(10): 759-763.
16. Sekine C, Kawase K, Yoshida K. Sentinel lymph node biopsy of primary apocrine sweat gland carcinoma of the axilla: a case report and review of the literature. Int J Surg Case Rep, 2020, 77: 122-125.
17. Xie S, Li ZM, Li SJ, et al. Congenital bilateral ectopic parotid glands: case report and systematic review of the literatures. Gland Surg, 2021, 10(3): 1165-1170.
18. Anakievski D, Malinova D. Heterotopic adrenal gland in undescendent testis—case report. Urol Case Rep, 2019, 27: 101008.

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腋窝淋巴结异位皮肤附属器伴毛源性肿瘤1例报道

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