中国麻风皮肤病杂志 ›› 2022, Vol. 38 ›› Issue (8): 542-544.doi: 10.12144/zgmfskin202208542

• 临床研究 • 上一篇    下一篇

乳房外Paget病反射式共聚焦显微镜和皮肤镜图像特征分析

邹云敏,朱小红,夏汝山   

  1. 南京医科大学附属无锡市第二人民医院，江苏无锡，214002
  • 出版日期:2022-08-15 发布日期:2022-06-22

Reflectance confocal microscopy and dermoscopy features of extramammary Paget's disease

ZOU Yunmin, ZHU Xiaohong, XIA Rushan   

  1. Department of Dermatology, Wuxi Second People's Hospital, Nanjing Medical University, Wuxi 214002, China
  • Online:2022-08-15 Published:2022-06-22

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摘要： 目的：分析乳房外Paget病（EMPD）反射式共聚焦显微镜（RCM）和皮肤镜特征。方法：回顾性分析我院16例经组织病理证实为乳房外Paget病的RCM、皮肤镜影像资料。结果：16例患者反射式共聚焦显微镜特征均表现为低折光大而圆的Paget细胞散在或成巢分布。 16例皮肤镜表现均出现乳红色背景、亮白色无结构区和点-球状血管。结论：本研究中 EMPD患者有共同的皮肤镜和RCM特征，皮肤镜和RCM可作为EMPD早期诊断及治疗随访的辅助工具。

关键词: 乳房外Paget病, 反射式共聚焦显微镜, 皮肤镜

Abstract: Objective: To analyze the dermoscopy and reflectance confocal microscopy（RCM）features of extramammary Paget's disease (EMPD). Methods: The dermoscopy and RCM images data of 16 EMPD who identified by histopathology were analyzed. Results: The low refractive large and round paget cells scattered or nest in the epidermis under RCM and the milky red background, bright white structureless dotted-globular vessels under dermoscopy were in all 16 patients. Conclusion: All EMPD patients have common features under dermoscopy and RCM in this study, so dermoscopy and RCM could be a useful tool for used as a tool for diagnosis and follow up of EMPD.

Key words: extramammary Paget's disease, reflectance confocal microscopy, dermoscopy