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患者女,72岁。右侧腰腹部红斑、糜烂伴疼痛1年,院外一直诊断为带状疱疹。皮肤科情况:右侧腰腹部见单侧分布的浸润性红色斑块,散在点状糜烂、结节。结合组织病理、免疫组化,诊断皮肤鳞状细胞癌。经放疗后皮损面积缩小,10个月后随访,病情转移至腹股沟淋巴结,同侧下肢肿胀。本病例皮损面积大,表现不典型,无原有皮肤病,临床罕见。
Female patient, 72 years old. The right side of the waist and abdomen erythema, erosion with pain for 1 year, the hospital has been diagnosed as shingles. Dermatology: see the right side of the waist and unilateral distribution of infiltrative red patches, scattered in spots erosion, nodules. Combination of histopathology, immunohistochemistry, diagnosis of squamous cell carcinoma of the skin. After radiotherapy skin lesions reduced, 10 months follow-up, the disease was transferred to the inguinal lymph nodes, ipsilateral lower limb swelling. The case of large lesions, atypical, without original skin disease, clinically rare.