摘要
患者男,56岁。皮肤红斑3个月,加重伴头痛和头晕1个月。颅脑MRI示:右侧枕部及颞叶占位,水肿显著。肺部CT示:左下肺结节影,纵隔内多发肿大淋巴结,考虑左下肺周围型肺癌合并纵隔淋巴结转移。上腹皮损组织病理示:表皮轻度角化过度,部分区域可见角栓,颗粒层减少,棘层变薄,上皮角延伸,基底层部分细胞液化变性,真皮浅层血管周围见少量淋巴细胞浸润。诊断:匍行性回状红斑;左下肺周围型肺癌;右顶枕占位:胶质瘤?转移瘤?予脱水、补液治疗。患者家属拒绝手术治疗,6d后自动出院。现继续随访中。
A 56-year-old male, has had skin erythema for 3 months, aggravated with headache and dizziness 1 month before. Brain MRI showed the right occipital lobe and temporal lobe lesion with obvious edema. Lung CT showed the left lower lung nodules and multiple enlarged lymph nodes within the mediastinum. Considering left inferior pulmonary peripheral lung cancer with mediastinal lymph node metastasis. Histopathology of le- sions revealed mild hyperkeratosis which can be seen keratotic plug in partial area, hypogranulosis, stratum spinousum becomes thinner, epithelium angle extends and the basal layer cells become liquidation and de- generation, small lymphocyte infiltrates around blood vessels in upper dermis. Diagnosis：Erythema gyratum repens; Left inferior pulmonary peripheral lung cancer; The right occipital lobe lesion： Glioma？ Metastatic tumor？ Given the dehydration and fluid infusion treatment. The relatives of the patient refused operative treat- ment and discharged after 6 days. Now he is in follow-up.
出处
《中国皮肤性病学杂志》
CAS
北大核心
2013年第11期1153-1155,共3页
The Chinese Journal of Dermatovenereology
关键词
匍行性回状红斑
肺癌
脑瘤
Erythema gyratum repens
Lung cancer
Brain tumor
