sebaceous gland

皮脂腺
  • 文章类型: Journal Article
    牛皮会导致极度瘙痒,相关的压力是动物福利问题,由于牛的生产力下降和驱虫成本而导致经济损失。这项研究调查了绒毛膜螨的原因,C.牛和C.texanus,优先侵染尾根区域(rTR),并进行组织学和生化分析,重点是宿主气味的挥发性成分,这些成分是寄生节肢动物侵染的起点。皮肤样本取自rTR,外侧腹部,和中央按摩师,后两者被指定为比较地点。二维和三维组织学分析测量每单位体积的皮脂腺和汗腺百分比。q-PCR分析了ALDH1A1和LOC785756的表达水平,它们是与挥发性气味化合物相关的基因,这些化合物可作为壁虱的驱避性和有吸引力的信使。免疫组织化学用抗雄激素结合蛋白β样(ABPβ样)染色三个部位,由LOC785756,抗体编码。三维分析表明,与其他区域相比,rTR中的皮脂腺趋于更连续,并且存在更大的质量。LOC785756在rTR中的表达程度显著增高,免疫组织化学显示皮脂腺中存在ABPβ样,rTR中存在强阳性信号。这些结果表明,C.bovis/texanus选择性地感染rTR,因为皮肤有发达的皮脂腺,包括大量ABPβ样,充当螨引诱剂。
    Cattle mange causes extreme itchiness, and the associated stress is an animal welfare concern that leads to economic losses due to decreased cattle productivity and deworming costs. This study investigated the reason why Chorioptic mites, C. bovis and C. texanus, preferentially infest the tail root region (rTR) and performed histological and biochemical analysis focusing on the volatile components of host odors that serve as the starting point for infestation of parasitic arthropods. Skin samples were taken from the rTR, lateral abdominal, and central masseteric, with the latter two designated as comparison sites. The two and three-dimensional histological analysis measured each sebaceous and sweat gland percentage per unit volume. The q-PCR analyzed the expression levels of ALDH1A1 and LOC785756, which are genes associated with volatile odoriferous compounds that serve as repellency and attractive messengers for ticks. Immunohistochemistry stained three sites with anti-androgen binding protein beta-like (ABPβ-like), encoded by LOC785756, antibody. The three-dimensional analysis showed that sebaceous glands in the rTR tend to be more continuous and existed in larger masses than in other regions. The expression level of LOC785756 was significantly higher in the rTR, and immunohistochemistry revealed the presence of ABPβ-like in the sebaceous gland with strong positive signals in the rTR. These results suggest that C. bovis/texanus selectively infests the rTR because that skin has well-developed sebaceous glands, including a large amount of ABPβ-like, which acts as a mite attractant.
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  • 文章类型: Journal Article
    痤疮(syn.寻常痤疮)是与青春期和青春期相关的常见炎症性皮肤病。这种疾病的特征是昏迷性病变,丘疹,脓疱,和主要在脸上发现的结节。这些病变是由毛囊皮脂腺单位和痤疮切杆菌之间的复杂相互作用引起的(C.痤疮)细菌。不健康的痤疮及其后遗症,比如色素变化和疤痕,对一个人的生活质量有不利影响。近年来,核酸疗法(NAT)的批准急剧增加,如反义寡核苷酸和短干扰RNA药物,用于很少或没有有效治疗方法的罕见疾病。这些发展表明,NAT可能在未来的痤疮治疗计划中有用,皮肤环境中microRNA(miRNA)调节的临床试验也是如此。在这篇综述中,我们强调了抗痤疮治疗的有希望的miRNA靶标。我们简要概述了痤疮的病理生理学,并强调了痤疮梭菌的功能。接下来,我们专注于生物膜和浮游C.acnes对跨越miR-146a-5p的Toll样受体2轴的不同影响,这是最近发现的。在讨论miR-21-5p的潜在贡献之前,miR-233-3p,和miR-150-5p在痤疮的炎症轴,我们评估皮脂腺细胞中的miR-146a-5p。最后,我们讨论了患者参与miRNA相关痤疮研究和翻译观点。
    Acne (syn. acne vulgaris) is a common inflammatory skin disorder associated with puberty and adolescence. The disease is characterized by comedoneous lesions, papules, pustules, and nodules that are mostly found on the face. These lesions are caused by intricate interactions between the pilosebaceous unit and the Cutibacterium acnes (C. acnes) bacteria. Unhealthy acne and its aftereffects, like pigment changes and scarring, have a detrimental impact on one\'s quality of life. Recent years have seen a sharp increase in the approval of nucleic acid therapies (NATs), such as antisense oligonucleotides and short-interfering RNA medications, for rare diseases for which there are few or no effective treatments. These developments suggest that NATs may be useful in acne treatment plans down the road, as do clinical trials for microRNA (miRNA) modulation in skin contexts. We highlight promising miRNA targets for anti-acne therapy in this review. We outline the pathophysiology of acne in brief and emphasize the functions of C. acnes. Next, we concentrate on the distinct impacts of biofilm and planktonic C. acnes on a Toll-like receptor 2 axis that spans miR-146a-5p, which was recently discovered. Before discussing the potential contributions of miR-21-5p, miR-233-3p, and miR-150-5p to inflammatory axes in acne, we evaluate miR-146a-5p in sebocytes. Finally, we address patient involvement in miRNA-related acne research and translational perspectives.
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  • 文章类型: Journal Article
    我们的皮肤提供了保护我们免受环境影响的保护屏障。屏障功能通常与毛囊间表皮有关;然而,毛囊是否影响这一过程仍不清楚。这里,我们利用一种有效的遗传工具,通过有条件地切除典型的表皮屏障基因来探测屏障功能,Abca12在最严重的皮肤屏障疾病中变异,丑角鱼鳞病.有了这个工具,我们推导出毛囊调节皮肤屏障功能的4种方式。首先,上毛囊(uHF)形成功能障碍。第二,uHF中的屏障破坏引起表皮中的非细胞自主反应。第三,在uHF中删除Abca12会损害脱皮并阻止皮脂释放。最后,屏障扰动导致uHF细胞移动到表皮中。中和IL-17a,其表达富含uHF,部分缓解了一些疾病表型。总之,我们的发现暗示毛囊是皮肤屏障功能的多方面调节因子.
    Our skin provides a protective barrier that shields us from our environment. Barrier function is typically associated with the interfollicular epidermis; however, whether hair follicles influence this process remains unclear. Here, we utilize a potent genetic tool to probe barrier function by conditionally ablating a quintessential epidermal barrier gene, Abca12, which is mutated in the most severe skin barrier disease, harlequin ichthyosis. With this tool, we deduced 4 ways by which hair follicles modulate skin barrier function. First, the upper hair follicle (uHF) forms a functioning barrier. Second, barrier disruption in the uHF elicits non-cell-autonomous responses in the epidermis. Third, deleting Abca12 in the uHF impairs desquamation and blocks sebum release. Finally, barrier perturbation causes uHF cells to move into the epidermis. Neutralizing IL-17a, whose expression is enriched in the uHF, partially alleviated some disease phenotypes. Altogether, our findings implicate hair follicles as multi-faceted regulators of skin barrier function.
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  • 文章类型: Journal Article
    过氧化物酶体增殖物激活受体γ(PPARγ)是在许多组织中表达的转录因子。包括皮肤,对于保持皮肤屏障的通透性至关重要,调节细胞增殖/分化,并在配体结合时调节抗氧化剂和炎症反应。因此,PPARγ激活对皮肤稳态具有重要意义。在过去的20年里,随着人们对PPARs在皮肤病理生理学中的作用越来越感兴趣,在开发PPARγ配体作为皮肤炎症性疾病的治疗选择方面,人们付出了相当大的努力.此外,PPARγ还调节皮脂腺细胞分化和脂质产生,使其成为炎性皮脂腺疾病如痤疮的潜在目标。大量研究表明,PPARγ在黑色素瘤和非黑色素瘤皮肤癌中也作为皮肤肿瘤抑制因子,但其在肿瘤发生中的作用仍存在争议。在这次审查中,我们总结了PPARγ在皮肤健康和疾病中的作用的研究现状,以及这如何为开发具有低毒性的更有效和选择性的PPARγ配体提供起点。从而减少不必要的副作用。
    Peroxisome proliferator-activated receptor gamma (PPARγ) is a transcription factor expressed in many tissues, including skin, where it is essential for maintaining skin barrier permeability, regulating cell proliferation/differentiation, and modulating antioxidant and inflammatory responses upon ligand binding. Therefore, PPARγ activation has important implications for skin homeostasis. Over the past 20 years, with increasing interest in the role of PPARs in skin physiopathology, considerable effort has been devoted to the development of PPARγ ligands as a therapeutic option for skin inflammatory disorders. In addition, PPARγ also regulates sebocyte differentiation and lipid production, making it a potential target for inflammatory sebaceous disorders such as acne. A large number of studies suggest that PPARγ also acts as a skin tumor suppressor in both melanoma and non-melanoma skin cancers, but its role in tumorigenesis remains controversial. In this review, we have summarized the current state of research into the role of PPARγ in skin health and disease and how this may provide a starting point for the development of more potent and selective PPARγ ligands with a low toxicity profile, thereby reducing unwanted side effects.
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
    背景:寻常痤疮是一种物种特异性人类疾病。迄今为止,尚未建立亚洲起源的人类皮脂腺细胞系。我们先前的研究已经证明了5-氨基乙酰丙酸光动力疗法(ALA-PDT)治疗寻常痤疮的疗效,主要归因于其细胞毒性;然而,其调控机制在很大程度上仍然未知。
    目的:建立源自中国人群的永生化人类皮脂腺细胞系,并研究ALA-PDT的潜在机制。
    方法:用人tert基因(h-tert)转染人原代皮脂腺细胞。生物学特性,包括细胞增殖,细胞标记,和皮脂分泌功能,在原代皮脂腺细胞和永生化皮脂腺细胞(XL-i-20)之间进行比较。ALA-PDT等刺激,分别应用于原代皮脂腺细胞和XL-i-20细胞以评估其细胞功能的变化。使用RNA-seq分析研究了原代皮脂腺细胞和XL-i-20皮脂腺细胞之间的转录组差异。XL-i-20细胞系用于建立皮脂腺(SG)类器官培养,作为SG研究ALA-PDT的代表模型。
    结果:h-tert永生化皮脂细胞细胞系表现出连续培养超过50代的能力。原代和永生化细胞均表达皮脂腺标记,上皮膜抗原(EMA,或MUC-1),细胞角蛋白7(CK7)和脂肪分化相关蛋白相关抗原(ADRP),维持皮脂分泌功能。发现XL-i-20的增殖能力明显高于原代皮脂腺细胞。XL-i-20对ALA-PDT的反应与原代皮脂腺细胞引起的反应没有区别。ALA-PDT后两种细胞系的细胞活力和皮脂分泌均降低,和脂质相关蛋白(SREBP-1/PPARγ)下调。转录组数据一致证明了PDT后两种细胞类型中与炎症反应相关的基因的上调和与脂质代谢相关的基因的下调。ALA-PDT后原代皮脂腺细胞和XL-i-20皮脂腺细胞的常见差异基因分析表明,MAPK信号通路和JAK-STAT信号通路被激活。SG类器官呈球形,表达FANS和PLET1的标记。ALA-PDT后Ki-67下调。
    结论:我们首先从亚洲人开发了一种h-tert永生化的皮脂细胞细胞系,保持其亲本原代皮脂腺细胞的基本特征。此外,XL-i-20皮脂细胞表现出对ALA-PDT的显著反应,显示与原代皮脂腺细胞具有可比性的表型和分子变化。因此,XL-i-20及其衍生的SG类器官用作研究ALA-PDT在SG相关疾病中的功效和机制的合适的体外模型。
    BACKGROUND: Acne vulgaris is a species-specific human disease. To date, there has been no established human sebocyte cell line of Asian origin. Our previous study has demonstrated the efficacy of 5-aminolevulinic acid photodynamic therapy (ALA-PDT) in the treatment of acne vulgaris, primarily attributed to its cytotoxic properties; however, its regulatory mechanism remains largely unknown.
    OBJECTIVE: To establish an immortalized human sebocyte cell line derived from Chinese population and investigate the underlying mechanism of ALA-PDT.
    METHODS: Human primary sebocytes were transfected with the human tert gene (h‑tert). The biological characteristics, including cell proliferation, cell markers, and sebum secretion function, were compared between primary sebocytes and the immortalized sebocytes (XL-i-20). Stimulations such as ALA-PDT, were applied respectively to both primary sebocytes and XL-i-20 cells to assess changes in their cellular functions. The transcriptome differences between primary sebocytes and XL-i-20 sebocytes were investigated using RNA-seq analysis. The XL-i-20 cell line was used to establish a sebaceous gland (SG) organoid culture, serving as a representative model of SG for the investigation of ALA-PDT.
    RESULTS: The h‑tert immortalized sebocyte cell line exhibited the ability to be consecutively cultured for more than fifty passages. Both primary and immortalized cells expressed sebocyte markers such as epithelial membrane antigens (EMA, or MUC-1), Cytokeratin 7 (CK7) and adipose differentiation-related protein associated antigens (ADRP), and maintained sebum secretion function. The proliferative capacity of XL-i-20 was found to be significantly higher than that of primary sebocytes. The responses of XL-i-20 to ALA-PDT were indistinguishable from those elicited by primary sebocytes. Cell viability and sebum secretion were decreased after ALA-PDT in both two cell lines, and lipid-related proteins (SREBP-1/PPARγ) were down-regulated. The transcriptome data consistently demonstrated upregulation of genes related to inflammatory responses and downregulation of genes involved in lipid metabolism in both cell types following PDT. The analysis of common differential genes of primary sebocytes and XL-i-20 sebocytes post ALA-PDT showed that TNF signaling pathways, MAPK signaling pathways and JAK-STAT signaling pathways were activated. The SG organoids were spherical, which expressed markers of FANS and PLET1. Ki-67 was down-regulated after ALA-PDT.
    CONCLUSIONS: We have developed an h‑tert immortalized sebocyte cell line from an Asian population. The cell line, XL-i-20, maintains the essential characteristics of its parent primary sebocytes. Moreover, XL-i-20 sebocyte exhibited a significant respond to ALA-PDT, demonstrating comparable phenotypic and molecular changes to primary sebocytes. Therefore, XL-i-20 and its derived SG organoid serve as appropriate in vitro models for investigating the efficacy and mechanisms of ALA-PDT in SG-related diseases.
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  • 文章类型: Journal Article
    皮脂腺(SG)及其油性分泌物(皮脂)对于维持皮肤结构和功能是必不可少的,并且它们的放松调节导致皮肤病症,包括但不限于痤疮。最近的研究还表明,皮脂可能具有重要的免疫调节活性,并可能影响全身能量代谢。然而,导致皮脂产生的皮脂细胞的进行性转录变化从未被详细描述过。这里,我们利用皮脂腺增生和综合空间转录组学提供的高细胞分辨率,伪时间分析,RNA速度,和功能富集,利用空间转录组学绘制皮脂腺分化景观图。通过与已发表的SG转录组数据进行比较来验证我们的结果,并通过评估公共储存库HumanProteinAtlas中转录本子集的蛋白质表达模式来进一步证实。从无监督聚类产生的四个皮脂腺细胞分化阶段出发,我们展示了与特定基因集相关的细胞功能的连续调节,从细胞增殖和氧化磷酸化通过脂质合成到细胞死亡。两种验证方法都证实了我们结果的生物学意义。我们的报告由免费提供和可浏览的在线工具补充。我们的数据提供了SG转录景观的第一个高分辨率空间肖像,并为实验评估用于调节健康和疾病中SG稳态的新型候选分子提供了起点。
    Sebaceous glands (SG) and their oily secretion (sebum) are indispensable for maintaining skin structure and function, and their deregulation causes skin disorders including but not limited to acne. Recent studies also indicate that sebum may have important immunomodulatory activities and may influence whole-body energy metabolism. However, the progressive transcriptional changes of sebocytes that lead to sebum production have never been characterized in detail. Here, we exploited the high cellular resolution provided by sebaceous hyperplasia and integrated spatial transcriptomics, pseudo time analysis, RNA velocity, and functional enrichment to map the landscape of sebaceous differentiation. Our results were validated by comparison with published SG transcriptome data and further corroborated by assessing the protein expression pattern of a subset of the transcripts in the public repository Human Protein Atlas. Departing from four sebocyte differentiation stages generated by unsupervised clustering, we demonstrate consecutive modulation of cellular functions associable with specific gene sets, from cell proliferation and oxidative phosphorylation via lipid synthesis to cell death. Both validation methods confirmed the biological significance of our results. Our report is complemented by a freely available and browsable online tool. Our data provide the first high-resolution spatial portrait of the SG transcriptional landscape and deliver starting points for experimentally assessing novel candidate molecules for regulating SG homeostasis in health and disease.
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  • 文章类型: Journal Article
    皮脂腺肿瘤是起源于皮脂腺的肿瘤,是第三常见的皮肤肿瘤,占狗所有皮肤肿瘤的21-35%。根据它们的组织病理学特征,皮脂腺肿瘤可分为良性腺瘤和恶性上皮瘤。皮脂腺上皮瘤与皮脂腺瘤的区别在于含有90%或更多的储备细胞。然而,这个简单的数值标准不足以在组织学上区分上皮瘤和腺瘤.此外,人类的皮球瘤,类似于皮脂腺上皮瘤的肿瘤,是一个术语,用于具有超过50%的储备细胞的肿瘤,不像上皮瘤.因此,我们旨在比较和表征综合皮脂腺腺瘤的组织学和免疫组织化学特征,上皮瘤,和具有超过50%但不到90%的储备细胞的交界性肿瘤。共有14个犬皮脂腺肿瘤被诊断为7个腺瘤,四个交界性肿瘤,还有三个上皮瘤.组织学上,皮脂腺腺瘤显示结节由单层基底细胞包围的成熟皮脂腺细胞组成。相比之下,储备细胞的部分增加了,脂肪化细胞的部分减少,在皮脂腺上皮瘤中发现大多数脂肪化细胞是不成熟的。在皮脂腺腺瘤中,未观察到坏死,很少见到有丝分裂图。然而,在交界性肿瘤和皮脂腺上皮瘤中,坏死和有丝分裂现象非常常见。免疫组化显示,交界性肿瘤和皮脂腺上皮瘤对Ki-67的表达明显高于皮脂腺腺瘤。我们得出的结论是,在人类中使用50%的储备细胞的临界值而不是目前的90%的储备细胞来分类狗的皮脂腺肿瘤更准确。从而为皮脂腺肿瘤的表征提供了新的见解。
    Sebaceous gland tumors are neoplasms originating from the sebaceous gland and are the third most common type of skin tumor, accounting for 21-35% of all cutaneous neoplasms in dogs. According to their histopathological characteristics, sebaceous gland tumors can be classified into adenoma as a benign tumor and epithelioma as a malignant tumor. Sebaceous epithelioma is distinguished from sebaceous adenoma by containing 90% or more reserve cells. However, this simple numerical criterion is insufficient to histologically distinguish between epitheliomas and adenomas. In addition, sebaceoma in humans, a similar tumor to sebaceous epithelioma, is a term used for tumors with more than 50% of reserve cells, unlike epithelioma. Therefore, we aimed to compare and characterize the histological and immunohistochemical profiles of comprehensive sebaceous adenoma, epithelioma, and borderline tumors that have more than 50% but less than 90% of reserve cells. A total of 14 canine sebaceous tumors were diagnosed as seven adenomas, four borderline tumors, and three epitheliomas. Histologically, the sebaceous adenomas showed nodules consisting of mature sebocytes surrounded by monolayer basaloid cells. In contrast, the portion of the reserve cells was increased, the portion of lipidized cells was decreased, and the majority of lipidized cells were found to be immature in sebaceous epithelioma. In the sebaceous adenomas, necrosis was not observed and mitotic figures were rarely seen. However, necrosis and mitotic figures were highly frequent in both borderline tumor and sebaceous epithelioma. Immunohistochemistry revealed that borderline tumor and sebaceous epithelioma showed significantly higher expression against Ki-67 than sebaceous adenoma. We conclude that it is more accurate to employ the cut-off value of 50% reserve cells in humans rather than the current 90% reserve cells for classifying sebaceous gland tumors in dogs, thereby providing new insight into the characterization of the sebaceous gland tumors.
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  • 文章类型: English Abstract
    Sebaceous gland carcinomas are rare malignant cutaneous adnexal tumors with sebocytic differentiation. The typical predilection area is the head and neck region, where sebaceous gland carcinomas are the most common malignant adnexal tumors of the skin. According to their localization a distinction is made between periocular and extraocular sebaceous gland carcinomas. Muir-Torre syndrome (MTS) should always be ruled out if it is suspected. In terms of prognosis, sebaceous gland carcinomas are potentially aggressive tumors with a clear tendency to recur and metastasize. Only small extraocular sebaceous gland carcinomas that have been completely resected have a very good prognosis. Sebaceous gland carcinomas most frequently metastasize lymphogenously to regional or distant lymph nodes; organ metastasis occurs less frequently. Periocular sebaceous gland carcinomas have a higher metastasis rate (up to 15%) than extraocular sebaceous gland carcinomas (up to 2%). Complete micrographically controlled surgery (MCS) of the primary tumor is the therapy of first choice, regardless of periocular or extraocular localization. Adjuvant or therapeutic radiotherapy may be considered. There is currently no established standard therapy for advanced, inoperable or metastatic sebaceous gland carcinomas. Local procedures and system therapies such as chemotherapy or immunotherapy can be considered. The procedure should be determined individually in an interdisciplinary tumor board. Close follow-up care is recommended for these potentially aggressive carcinomas.
    Talgdrüsenkarzinome sind seltene maligne kutane Adnextumoren mit sebozytärer Differenzierung. Der typische Prädilektionsbereich ist die Kopf‐Hals‐Region; hier sind die Talgdrüsenkarzinome die häufigsten malignen Adnextumoren der Haut. Nach ihrer Lokalisation unterscheidet man periokuläre und extraokuläre Talgdrüsenkarzinome. Ein Muir‐Torre‐Syndrom (MTS) sollte bei entsprechendem Verdacht unbedingt ausgeschlossen werden. Im Hinblick auf die Prognose handelt es sich bei Talgdrüsenkarzinomen um potenziell aggressive Tumoren, die eine deutliche Rezidiv‐ und Metastasierungsneigung aufweisen. Nur kleine extraokuläre Talgdrüsenkarzinome, die sicher vollständig reseziert wurden, weisen eine sehr gute Prognose auf. Talgdrüsenkarzinome metastasieren am häufigsten lymphogen in regionäre oder entfernte Lymphknoten, seltener kommt es zur Organmetastasierung. Periokuläre Talgdrüsenkarzinome haben eine höhere Metastasierungsrate (bis zu 15%) als extraokuläre Talgdrüsenkarzinome (bis zu 2%). Die vollständige mikroskopisch kontrollierte Chirurgie (MKC) des Primärtumors ist unabhängig von periokulärer oder extraokulärer Lokalisation die Therapie der ersten Wahl. Eine adjuvante oder therapeutische Radiatio kann in Betracht gezogen werden. Für fortgeschrittene, inoperable oder metastasierte Talgdrüsenkarzinome gibt es aktuell keine etablierte Standardtherapie. Es kommen lokale Verfahren sowie Systemtherapien wie Chemotherapie oder Immuntherapie in Betracht. Das Vorgehen sollte in einem interdisziplinären Tumorboard individuell festgelegt werden. Eine engmaschige Nachsorge ist bei diesen potenziell aggressiven Karzinomen empfehlenswert.
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  • 文章类型: Journal Article
    皮脂腺癌是罕见的恶性皮肤附件肿瘤,伴有皮脂腺分化。典型的好发区域是头颈部,皮脂腺癌是最常见的皮肤附件恶性肿瘤。根据它们的定位,眼周皮脂腺癌和眼外皮脂腺癌之间有区别。如果怀疑Muir-Torre综合征(MTS),应始终排除。在预后方面,皮脂腺癌是潜在的侵袭性肿瘤,具有明显的复发和转移趋势。只有完全切除的小眼外皮脂腺癌的预后非常好。皮脂腺癌最常通过淋巴途径转移到区域或远处淋巴结;器官转移发生频率较低。眼周皮脂腺癌的转移率(高达15%)高于眼外皮脂腺癌(高达2%)。原发肿瘤的完全显微控制手术(MCS)是首选的治疗方法,无论眼周或眼外定位。可以考虑辅助或治疗性放疗。目前还没有确定的晚期标准疗法,无法操作,或转移性皮脂腺癌。可以考虑局部程序和全身疗法,例如化疗或免疫疗法。该程序应由跨学科肿瘤委员会单独确定。建议对这些潜在的侵袭性癌进行密切随访。
    Sebaceous gland carcinomas are rare malignant cutaneous adnexal tumors with sebocytic differentiation. The typical predilection area is the head and neck region, where sebaceous gland carcinomas are the most common malignant adnexal tumors of the skin. According to their localization a distinction is made between periocular and extraocular sebaceous gland carcinomas. Muir-Torre syndrome (MTS) should always be ruled out if it is suspected. In terms of prognosis, sebaceous gland carcinomas are potentially aggressive tumors with a clear tendency to recur and metastasize. Only small extraocular sebaceous gland carcinomas that have been completely resected have a very good prognosis. Sebaceous gland carcinomas most frequently metastasize lymphogenously to regional or distant lymph nodes; organ metastasis occurs less frequently. Periocular sebaceous gland carcinomas have a higher metastasis rate (up to 15%) than extraocular sebaceous gland carcinomas (up to 2%). Complete micrographically controlled surgery (MCS) of the primary tumor is the therapy of first choice, regardless of periocular or extraocular localization. Adjuvant or therapeutic radiotherapy may be considered. There is currently no established standard therapy for advanced, inoperable, or metastatic sebaceous gland carcinomas. Local procedures and systemic therapies such as chemotherapy or immunotherapy can be considered. The procedure should be determined individually by an interdisciplinary tumor board. Close follow-up care is recommended for these potentially aggressive carcinomas.
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