评价皮肤镜检和组织病理检查在色素性基底细胞癌中的特征及两者间的相关性  

Evaluation of dermoscopic and histopathologic features and their correlations in pigmented basal cell carcinomas

作　　者：Demirtaoglu M. Ilknur T. Lebe B. ■zkan 李政霄 

机构地区：[1]Department of Dermatology, Dokuz Eylul University Faculty of Medicine, Inciralti 35340 Izmir, Turkey

出　　处：《世界核心医学期刊文摘（皮肤病学分册）》2006年第12期27-28,共2页Digest of the World Core Medical JOurnals:Dermatology

摘　　要：Background: Because of their clinical similarities, pigmented basal cell carcinomas (BCCs) can be confused with melanocytic pigmented lesions especially with melanoma. Since special dermoscopic features have been described for pigmented BCCs, dermoscopy is accepted as a useful tool for the diagnosis of pigmented BCCs. Objective: To investigate dermoscopic and corresponding histopathologic features of BCCs and to evaluate their correlations in pigmented BCCs. Methods: In this study, 32 pigmented BCCs in 30 patients whose diagnoses were confirmed with clinical and histopathologic features were included. Before the histopathologic evaluation, the lesions were analysed for dermoscopic features. Histopathologic correlations of dermoscopic features of BCCs and the localization of pigment accumulation in tumour mass were investigated. Results: In addition to ulceration, large grey-blue ovoid nests, multiple grey-blue globules, maple leaf areas and arborizing telangiectasia; dermoscopically yellow-brown, whitish-yellow, and black-dark brown colour showed statistically significant correlation with their histopathologic counterparts (P < 0.05). Whitish veil, which is among dermoscopic features of BCCs, did not show significant correlation with its histopathologic counterpart (P > 0.05). It was histopathologically determined that pigmentation is found within the tumour mass as well as in the tumour stroma and in the hyperplastic epidermal melanocytes. Conclusions: Ulceration, large grey-blue ovoid nests, multiple grey-blue globules, maple leaf-like areas and arborizing telangiectasia, which are specific dermoscopic features for the diagnosis of pigmented BCC, were found to correlate with their histopathologic counterparts. In conclusion, dermoscopy can be described as a valuable tool for the diagnosis of pigmented basal cell carcinomas.Background: Because of their clinical similarities, pigmented basal cell carcinomas (BCCs) can be confused with melanocytic pigmented lesions especially with melanoma. Since special dermoscopic features have been described for pigmented BCCs, dermoscopy is accepted as a useful tool for the diagnosis of pigmented BCCs. Objective: To investigate dermoscopic and corresponding histopathologic features of BCCs and to evaluate their correlations in pigmented BCCs. Methods: In this study, 32 pigmented BCCs in 30 p...

关 键 词：皮肤镜 色素性基底细胞癌 组织病理检查 相关性 

分 类 号：R739.5[医药卫生—肿瘤]