文献简介

出版社:JAMA Dermatology

作  者:

编  号:

关键字:毛细血管扩张;乳腺癌;毛细血管扩张型转移性乳腺癌

年  份:2019   点击量:114

文献摘要 全文翻译

A woman in her 60s presented to the clinic with a 3-month history of pain, swelling, and erythema on her face. Eleven years earlier, she had been diagnosed with left breast carcinoma and had undergone a mastectomy with subsequent radiotherapy and chemotherapy. Seven years later, she had been found to have left supraclavicular lymph nodes metastasis and had undergone a surgical excision. On presentation for the current problem, the patient experienced pain on palpation, but denied fever, chills, or other symptoms. A physical examination revealed violaceous swelling with telangiectasia and necrosis on the forehead, eyelids, nose, and cheek, predominantly involving the left side of the face (Figure 1). A biopsy of the lesion was performed for histopathological analysis (Figure 2).

患者女性,60余岁,因面部3个月疼痛、肿胀和红斑就诊。11年前,患者被诊断为左乳腺癌,并接受了乳房切除术,随后进行了放疗和化疗。七年后,发现患者左锁骨处淋巴结转移,并进行了手术切除。在出现这些症状时,触诊发现患者有疼痛感,但未有发烧、发冷或其他症状。体格检查发现前额、眼睑、鼻子和面颊紫罗兰色肿胀伴毛细血管扩张和坏死,主要累及左侧面部(图1)。对皮损进行活检和组织病理学分析(图2)。