色素痣样皮损381例的临床与组织病理分析  

The analysis of the clinical and pathological features of the 381 cases of cutaneous melanocytic lesions

作　　者：田艳丽[1] 王文岭[1] 刘静洋[1] 常冬青[1] 谷廷敏[1] 杨蓉娅[1] 

机构地区：[1]北京军区总医院全军皮肤损伤修复研究所,北京100700

出　　处：《中国美容医学》2012年第9期1554-1555,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨381例色素痣样皮损的临床与病理之间的关系。方法:对381例色素痣样的病例做临床及组织病理诊断回顾性分析。结果:381例色素痣样皮损中,病理诊断符合色素痣327例,符合率为93.7%,组织病理类型:皮内痣219例(67%),混合痣89例(27.2%),交界痣8例(2.4%)及其他11例(3.4%);327例色素痣中,先天性色痣140例(42.8%),组织病理类型:皮内痣74例(52.9%),混合痣55例(39.3%),交界痣7例(5%)及蓝痣4例(2.8%);临床误诊为色素痣54例,病理诊断居前5位为脂溢性角化病、血管角皮瘤、基底细胞癌、黑素瘤、鳞状细胞癌。结论:色素痣样皮损的正确诊断需要结合组织病理分析。Objective To analyze the relationships between clinical and pathological features of 381 cases of cutaneous melanocytic lesions.Methods Retrospective study on the clinical and pathological diagnostic features of the 381 cases of cutaneous melanocytic lesions.Results 327 cases of the 381cases the clinical diagnostics of 327cases coincided with the pathological diagnostics（93.7%）,54 cases didn＇t.There were about 219 cases of intradermal nevus（67%）,89cases of compound nevus（27.2%）,8 cases of junctional nevus（2.4%） and 11 cases of others（3.4%）;In the 327cases,140 cases are congenital melanocytic nevus.There were about 74 cases of intradermal nevus（52.9%）,55cases of compound nevus（39.3%）,7 cases of junctional nevus（5%） and 4cases of others（2.8%）;The 54 missed cases were diagnosed mostly as seborrheic keratosis,angiokeratoma,basal cell carcinoma,malignant melanoma and squamous cell carcinoma by pathology.Conclusion Pathology plays an important role in diagnosis of cutaneous melanocytic lesions.

关 键 词：色素痣样皮损 组织病理 

分 类 号：R758.51[医药卫生—皮肤病学与性病学]