头皮肿物920例临床特征与病理分析  

Clinicopathological Analysis of 920 Cases with Scalp Tumor

作　　者：张秀君[1] 顾安康[2] 张理涛[1] 聂振华[1] 王琨[3] 肖尹[2] 纪华安[2] ZHANG Xiujun;GU Ankang;ZHANG Litao;NIE Zhenhua;WANG Kun;XIAO Yin;JI Hua'an(Department of Dermatology,Tianjin Academy of Traditonal Chinese Medicine Affiliated Hospital,Tianjin 300120,China;Department of Pathology,Tianjin Academy of Traditonal Chinese Medicine Affiliated Hospital,Tianjin 300120,China;Department of Orthopaedics,Tianjin Academy of Traditonal Chinese Medicine Affiliated Hospital,Tianjin 300120,China)

机构地区：[1]天津市中医药研究院附属医院皮肤科,天津300120 [2]天津市中医药研究院附属医院病理科,天津300120 [3]天津市中医药研究院附属医院皮肤整形外科,天津300120

出　　处：《中国皮肤性病学杂志》2018年第12期1387-1390,共4页The Chinese Journal of Dermatovenereology

摘　　要：目的分析920例头皮肿物的临床特点及病理类型分布。方法收集1990-2013年在本院皮肤外科收治的920例头皮肿物患者临床病理资料,分析头皮肿物的病理类型及临床特点。结果良性病变797例(86. 63%),癌前或交界性病变28例(3. 04%),恶性肿瘤95例(10. 32%)。良性病变前5位为脂溢性角化病、皮脂腺痣、黑素细胞痣、寻常疣、小叶性毛细血管瘤。交界性病变前3位的病变分别是日光性角化病、皮角、增生性外毛根鞘瘤。恶性病变前4位为基底细胞癌、鳞状细胞癌、外毛根鞘癌及鲍温病。结论对头皮肿物的病理分类有助于临床医生掌握最新的疾病谱系,为病因学研究和诊疗工作提供依据。Objective To analyze the clinical characteristics and histopathological classification of 920 cases with scalp tumor. Methods The clinical and pathological data of the920 cases of scalp tumor between 1990 and 2013 were retrospectively collected,and the clinical characteristics and histopathological classification were analyzed. Results Total 797 cases were benign( 86. 63%),28 cases were Precancerous lesion( 3. 04%),and 95 cases were malignant tumor( 10. 32%). The most common benign tumors were seborrheic keratosis,nevus sebaceous,pigmented nevus,verruca vulgaris and granuloma pyogenicum. The main three borderline lesions were actinic keratosis,cutaneous horn and proliferative tricholemmoma. The major four malignant scalp tumors included basal cell carcinoma,squamous cell carcinoma,trichilemmal carcinoma and Bowen disease. Conclusion The pathological classification of scalp tumors contributes to acquiring the updated spectrum of disease for doctors,and it can provide,the most importantly,the basis for pathological research and clinical treatment.

关 键 词：头皮肿物 病理 分类 

分 类 号：R739.5[医药卫生—肿瘤]