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[P355] Papillary eccrine adenoma developed on the toe
( Hye-jin Ahn ),( Sang-myuong Park ),( Seung-hee Noh ),( Dong-woo Suh ),( Bark-lynn Lew ),( Woo-young Sim ) 대한피부과학회 2017 대한피부과학회 학술발표대회집 Vol.69 No.1
Papillary eccrine adenoma(PEA) is a rare benign cutaneous tumor. It is most commonly seen in middle aged women and located on the extremities. Histological findings show various sized multiple dilated ducts lines by 2 to 5 cell layers of cuboidal cells with intraluminal papillary injection. Histologically, it is necessary to differentiate from tumors characterized by papillary injections. Especially, differential diagnosis from aggressive digital papillary adenoma is required in case of the tumor located on a finger or toe. A 50-year-old female presented with solitary 0.5 x 0.5cm sized brownish colored nodule on the left big toe of several years` duration. She complained of mild pain when the toe was moving or the nodule was pressed. Histologic examination revealed well-circumscribed non-encapsulated dermal tumor composed of multiple dilated tubular structures with intraluminal papillary projections. Immunohistochemistry findings were positive for S-100 of inner cell layer. Outmost layer of cells were positive for SMA and keratin 14. The patient was diagnosed with papillary eccrine adenoma and underwent surgical excision without any evidence of recurrence at 3 months. In English literature, only 4 cases of PEAs located on fingers or toes have been reported. We report a rare case of PEA developed on the toe and review the literature.
이숙영,최명규,박지원,김현응,백남종,한치화,김훈교,이창돈,정인식,정규원,선회식,김부성,이교영,양기화,김원일 대한내과학회 1992 대한내과학회지 Vol.42 No.2
저자들은 국내에서는 처음으로 항위벽세포항체의 존재를 확인한 악성빈혈 4예를 진단하였다. 지금까지 한국인에서는 A형 위염이 매우 드물다 여겨져 왔으나 6개월간 4명의 환자가 진단된 것은 우리나라에서 A형 위염이 지금까지 생각된 것보다 빈도가 높다고 할 수 있어 이에 대한 조사가 필요할 것으로 사료된다. Pernicious anemia is a rare disease in Korea in which intrinsic factor secretion ceases owing to atrophy of gastric mucosa. Recentry pernicious anemia is thought to be caused by an autoimmune reaction against gastric parietal cell. We report 4 cases of pernicious anemia with atrophic gastritis which was diagnosed by gastrofiberscopy with biopsy and detection of the anti-parietal cell Ab by using indirect immunofluoscent technique.