NEJM· @NEJM · X·· 4 小时前AI 评分3
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一名35岁女性因无痛性乳头溃疡20天就诊，无其他相关症状或皮肤表现。乳头活检标本的组织病理学分析显示表皮坏死伴炎性渗出、真皮毛细血管增生及密集的血管周围淋巴浆细胞浸润。活检的免疫组化分析如图所示。最可能的诊断是什么？提交您的答案并查看其他人的回答：https://nej.md/IC10012026
正文
A 35-year-old woman presented with a 20-day history of a painless nipple ulcer without other associated symptoms or skin findings. Histopathologic analysis of a nipple-biopsy specimen showed epidermal necrosis with inflammatory exudate, dermal capillary proliferation, and dense perivascular lymphoplasmacytic infiltrates. Immunohistochemical analysis of the biopsy is shown. What is the most likely diagnosis? Submit your answer and see how others responded: https://nej.md/IC10012026
来源：NEJM · x.com