中国麻风皮肤病杂志 ›› 2016, Vol. 32 ›› Issue (12): 705-708.

• 论著 •    下一篇

71例基底细胞癌皮肤镜下特征分析

李彦波1，徐峰2，刘波1   

  1. 1复旦大学附属上海市第五人民医院皮肤科，上海，200240 2复旦大学附属华山医院皮肤科，上海，200040
  • 出版日期:2016-12-15 发布日期:2018-12-20
  • 通讯作者: 徐峰，E-mail: xufeng@medmail.com.cn

Dermoscopic features of basal cell carcinoma

LI Yanbo1, XU Feng2, LIU Bo1   

  1. 1 Department of Dermatology, The Fifth People’s Hospital of Shanghai, Fudan University, Shanghai 200240, China; 2 Department of Dermatology, Huanshan Hospital, Fudan University, Shanghai 200040, China
  • Online:2016-12-15 Published:2018-12-20
  • Contact: XU Feng,E-mail:xufeng@medmail.com.cn

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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（71 lesions)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%，加用皮肤镜后临床准断符合率为95%，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。

关键词: 基底细胞癌, 鉴别诊断, 皮肤镜

Abstract: 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.

Key words: basal cell carcinoma, differential diagnosis, dermoscopy