摘要
目的 探讨头面部钙化上皮瘤的诊疗方法,提高临床诊断的准确率.方法 对26例头面部钙化上皮瘤患者的临床资料进行回顾,并对诊断和治疗方法 进行评估分析.结果 在26例中有14例（53.8%）钙化上皮瘤患者年龄〈13岁.临床上极易误诊,误诊率达42.3%（11例）.B超诊断具有较高的符合率,超声表现分为3型：团块伴钙化型、强回声光带型及实质无钙化型.组织病理观察,表现为影细胞及嗜碱性细胞片状排列的特征.皮肤钙化上皮瘤经手术切除后均未见复发.结论 提高医师对钙化上皮瘤临床特征的认识,可利用影像学手段,如B超等检查,以提高诊断率.手术切除是治疗该病的较好方法.
Objective Calcified epithelioma is a rare benign tumor in head and face. It is seldomly seen canceration. But it has local invasion behavior. The aim of this study was to explore the methodology in the diagnosis and treatment of calcified epithelioma in head and face, and to improve the accuracy of clinical diagnosis. Methods A retrospective analysis was carried out in 26 patients with calcified epithelioma in head and face. Results 53. 8 % patients with calcified epithelioma were less than 13-year-old. The disease was easily misdiagnozed. In this group of patients the misdiagnosis rate reached to 42. 3 %. Btype ultrasonographic diagnosis possessed a high level of concordance with histological diagnosis. There were three major types of calcified epithelioma： type 1, a mass with internal echoic foci; type 2, a hyperechoic mass with high beam; type 3, no calcification in the parenchyma. Piomatricoma was described as a skin tumour histologically composed of ＂shadow＂cells, basophillic cells, foreign body giant cells and intracellular and stromal calcification. The treatment was excision and no recurrences were found by followup. Conclusions It is important for clinicians to know the clinical features of calcified epithelioma. Imaging studies including ultrasonography would help establish the diagnosis. Surgical excision with clear margins is recommended for this tumor.
出处
《中华医学美学美容杂志》
2011年第3期180-182,共3页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
钙化上皮瘤
临床诊断
治疗
Calcified epithelioma
Clinical analysis
Reshaping repair
