文献简介

出版社:JAMA

作  者:MorganA.Amigo,BA;BenjaminH.Kaffenberger,MD;CatherineG.Chung,MD

编  号:

关键字:绿色瘤

年  份:2020   点击量:47

文献摘要 全文翻译

A man in his 60s presented for evaluation of asymptomatic skin lesions on the chest that had been stable since onset 4 months prior. His medical history was significant for hyperlipidemia, familial polyposis, and acute myelogenous leukemia (AML) for which he had undergone an allogenic hematopoietic stem cell transplant 13 months earlier. Cutaneous examination revealed green-gray nodules and plaques on the left and right upper chest (Figure 1). Bilateral cervical, axillary, and inguinal lymph node chains were negative for adenopathy. The patient had not attempted measures to alleviate the nodules and denied experiencing exacerbating factors or pain. Biopsies of the skin lesions were performed.

患者男性,60余岁,为评估胸部无症状皮损就诊,该病自发病4个月以来一直稳定。患者有高脂血症、家族性息肉病和急性骨髓性白血病(AML)史,他在13个月前接受了异基因造血干细胞移植。皮肤检查发现左右上胸部可见灰绿色结节和斑块(图1)。双侧颈、腋窝和腹股沟淋巴结链检查腺病呈阴性。患者未尝试缓解结节,并否认出现加重因素或有疼痛感。对皮肤进行活组织检查。