基底细胞癌72例临床特征分析  

Analysis of the Clinical Feature of 72 Cases with Basal Cell Carcinoma

作　　者：孙彩虹[1] 张彩萍[1] 丁克云[1] 谢春丽[1] 杜素萍[1] 

机构地区：[1]江苏大学附属人民医院皮肤科,江苏镇江212001

出　　处：《皮肤性病诊疗学杂志》2015年第2期99-101,共3页Journal of Diagnosis and Therapy on Dermato-venereology

基　　金：镇江市科技发展基金(编号:2011046)

摘　　要：目的：探讨皮肤基底细胞癌（BCC）临床特征及可能诱因。方法：对72例患者的临床资料进行分析。结果：72例BCC中,平均发病年龄（68.03±12.91）岁,病程2个月~60年,平均（67.64±12.98）月。按皮损类型分型,结节溃疡型51例（70.83%）,色素型5例（6.94%）,浅表型9例（12.50%）,硬斑型2例（2.78%）,纤维上皮瘤型5例（6.94%）。头面部BCC共60例,占83.33%;肩部BCC 6例（8.33%）,均为农民或户外工人患者;颈部2例;后背、腋窝、腹部、踝部各1例。结论：BCC好发于头面部等曝光部位,也可以好发于职业相关性紫外线暴露部位。确诊后早期采用手术切除是主要而有效的治疗方法。Objective：To explore the clinical characteristics of skin basal cell carcinoma （ BCC） and its incentive factors.Methods：The clinical data of 72 cases with BCC were analyzed. Results：The average age of patients in this group was 68.03 ±129.10 years old （ 37-87 years old）,and the average course of the disease was 67.64 ±12.98 months（2-120 months）.According to the type of the lesion, 51 cases （ 70.83%） belonged to nodular and ulcer type, 5 cases （6.94%） were with pigment type, 9 cases （12.50%） were with superficial type.There were two cases with morphoea-like type（2.78%） and 5 cases（6.94%） with fibro-epithelioma-like type. There were 60（83.33%） cases whose lesions located on the head and face.Six cases′leision lo-cated on shoulder（8.33%） , two on neck, one on back, one under the axillary, one on abdomen and one on ankle respectively.Six cases whose lesion located on shoulder were all peasants or out-door workers.Conclusion：Either occupational related UV exposure site and head and face could be predilection site of BCC.Surgical resection is the main effective treatment for BCC patients.

关 键 词：基底细胞癌 组织病理 紫外线 

分 类 号：R739.5[医药卫生—肿瘤]