脂溢性角化病220例临床和病理分析  

Clinical and pathological analysis on 220 cases of seborrheic keratosis

作　　者：成先桂[1] 谢方明[1] 陈岳[1] 杨建均[1] 

机构地区：[1]中国人民解放军第三0三医院皮肤科,南宁530021

出　　处：《中国临床新医学》2013年第6期538-540,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的探讨脂溢性角化病的临床、组织病理特征和诊断情况。方法对220例组织病理学诊断为脂溢性角化病患者的临床资料进行回顾性分析。结果发病者以老年患者居多;男性多于女性;暴露部位比非暴露部位更易发病;病理分型中以棘层肥厚型及角化过度型最为常见;临床诊断易与色素痣、扁平疣、寻常疣、日光性角化病、基底细胞癌、黑素瘤等相混淆,此时诊断主要依靠组织病理学检查。结论脂溢性角化病与性别、年龄、日光照射有关,组织病理学检查在其诊断及鉴别诊断中具有重要意义。Objective To explore the clinical and histopathological characteristcs and the diagnosis ststus of seborrheic keratosis （SK）. Methods The clinical datas of 220 patients with SK were analyzed retrospectively. Re- stills The elderly patients accounted for the majority and males were more than females in patients with SK. SK more occurred in exposed parts than non-exposed parts. The most common pathological type was acanthosis and hy- perkeratosis. Clinically, SK was easily confused with nevi, flat warts, common warts, actinic keratoses, basal cell carcinoma, melanoma and so on. The diagnosis depends on the histopathological examination. Conclusion SK is re- lated to gender, age, and sunlight, histopathological examination is important in the diagnosis and differential diagno- sis of SK.

关 键 词：脂溢性角化病 临床特征 组织病理学 

分 类 号：R739.5[医药卫生—肿瘤]