摘要
目的:明确基底细胞癌在皮肤镜下的特征,为临床皮肤镜鉴别色素性皮损提供参考。方法:分析71例经组织病理确诊为基底细胞癌的皮损皮肤镜图像。结果:最主要的皮肤镜指征按出现频率由高到低分别为:蓝灰色卵圆形巢(78.9%)、血管模式(74.6%)、多发性蓝灰色小球(60.6%)、溃疡(57.7%)、叶状结构(21.1%)。单纯临床诊断符合率为55%,加用皮肤镜后临床诊断符合率为94.4%,提高了40%。结论:皮肤镜可提高临床诊断基底细胞癌的符合率。
Objective： To determine the dermoscopic features of basal cell carcinoma （BCC） in order to be used as a reference for the clinical diagnosis. Methods： The dermoscopic images of BCC lesions from 71 patents （71 tissues pathologically diagnosed） .were analyzed. Results： The main dermoscopic features of BCC were large blue-gray ovoid nests （78.9%）, scatter pattern of vessels （74.6%）, multiple blue-gray non-aggregated globules （ 60.6% ）, ulceration （ 57.7% ）, leaf-like areas （ 21.1% ）. The agreement of the clinical diagnosis with dermoscopy was increased by 40% compared to the clinical diagnosis without dermascopy. Conclusion： Dermoscopy can increase the agreement of clinical diagnosis of BCC.
作者
李彦波
徐峰
刘波
LI Yanbo XU Feng LIU Bo(Department of Dermatology, The Fifth People＇s Hospital of Shanghai, Fudan University, Shanghai 200240, China Department of Dermatology, Huashan Hospital, Fudan University, Shanghai 200040, China)
出处
《中国麻风皮肤病杂志》
2016年第12期705-708,共4页
China Journal of Leprosy and Skin Diseases
关键词
基底细胞癌
鉴别诊断
皮肤镜
basal cell carcinoma
differential diagnosis
dermoscopy
