摘要
目的:总结颌面部皮肤毛母质瘤的临床病理特点,提高诊断水平,减少误诊。方法:回顾分析54例颌面部皮肤毛母质瘤患者临床病理资料。结果:本组54例病例中,男性24例,女性30例,男女比例为1:1.24。发病年龄8个月~60岁,平均年龄19岁;20岁以前病例占73.1%。其中37.4%的病变位于腮腺区,33.3%位于面颊部,11.1%位于耳后区。仅有1例为多发。术前临床诊断正确率仅14.8%。所有病例均行手术切除,仅1例因手术不彻底而复发。确诊主要依靠组织病理学检查;组织学特征主要包括嗜碱性基底样细胞和影细胞。结论:毛母质瘤是少见的皮肤良性肿瘤,临床误诊率高,提高对其临床病理特征的认识有助于减少误诊。
Objective:To summarize the the clinicopathologic features of pilomatricoma in the oral and maxillofacial region to strengthen the understanding and avoid misdiagnosis.Methods:The clinical manifestations and histopathological features of 54 cases of cutaneous pilomatrixoma in the oral and maxillofacial region were retrospectively analyzed.Results:Out of the 54 cases, 24 were male and 30 were female.The male to female ratio was 1:1.24.The age of diagnosis ranged from 8 months to 60 years of age(mean 19 years),and 73.1% was observed under 20 years of age.The most frequent locations were the parotid region(37.4%),followed by the cheek(33.3%)and postauricular region(11.1%).Only one case was multiple.A correct preoperative diagnosis was made in only 14.8% of cases.All lesions were excised, and only one patient had a recurrence after incomplete excision.The correct diagnosis depends on the histopathological examination.Histological features included basophilic basaloid cells and ghost cells.Conclusion:Pilomatrixoma is a rare benign cutaneous tumor with high clinical misdiagnosis rate.Recognization the clinicopathologic features of this tumor is helpful for oral and maxillofacial surgeon to avoid misdiagnosis.
作者
陈峰
王芳
陈新明
CHEN Feng;WANG Fang;CHEN Xin-ming(MY Dental Cinlic.Wuhan,Hubei Wuhan 430021,China;Hospital of Stomatology,Wu-han University,Hubei Wuhan 430079,China)
出处
《临床口腔医学杂志》
2023年第2期111-113,共3页
Journal of Clinical Stomatology
关键词
毛母质瘤
临床病理
颌面部
Pilomatricoma
Oral and maxillofacial region
Clinicopathology
