中华皮肤科杂志 ›› 1984, Vol. 17 ›› Issue (4): 267-268.

• 论著 • 上一篇    下一篇

内脏恶性肿瘤在皮肤上的表现

王淑珠1, 毛玲娥2   

  1. 1. 上海第二医学院附属第三人民医院皮肤科;
    2. 上海第二医学院附属瑞金医院皮肤科
  • 出版日期:1984-12-15 发布日期:1984-12-15

Skin manifestations in visceral cancers

Wang Shuzhu1   

  • Online:1984-12-15 Published:1984-12-15

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摘要： 本文报导自1980-1982年来所见的一些内脏恶性肿瘤在皮肤上的表现:(1)特异性皮损:结节功例、炎症浸润性斑块3例、淋巴水肿3例.(2)非特异性皮损:全身搔痒20例、红皮病5例、红斑2例、皮肌炎12例、黑棘皮病5例.特异性皮损中以结节为多见,凡见到诊断不明、难以归类的结节应疑及内脏恶性肿瘤转移的可能,活检有助于诊断.白血病患者可在临床症状缓解、周围血象好转时出现结节.非特异性皮损中以全身搔痒最为多见,凡老年人患原因不明的全身搔痒,久治不愈者,需考虑内脏恶性肿瘤的可能.

Abstract: Skin mamifestztions in patients with visceral cancers followed up in our two teaching hospitals between 1960-1980 are reported.A. Specific skin lesions:1. nodular lesions, 10 cases;2. inflammatory infiltrations, 3 cases; 3. lymphaedema, 3 cases. B. Non-specific skin manifestations:1. generalized pruritus, 20 cases; 2. erythroderma, 5 cases; 3. erythema, 2 cases. 4. derm;,tomyositis, 12 cases; 5. acanthosis nigricans, 5 cases. Nodulzr lesions represent the most common form of specific skin lesions in patients with visceral cancers. Any skin nodule which is atypical for known dermatologic disorders should be suspected of being a metastaticlesion. Histologic examination may help the diagnosis. Sicin nodule may appear in leukemia, while peripheral blood picture is in remission. Generalized pruritus is the most common form of non-specific Ipsions. In elderly patienfs, generalized pruritus which is of unknown etiology and does not improve after prolonged treatment should be investigated for a hiddenmalignancy.