71例基底细胞癌皮肤镜下特征分析  

Dermoscopic features of basal cell carcinoma

作　　者：李彦波[1] 徐峰[2] 刘波[1] LI Yanbo XU Feng LIU Bo(Department of Dermatology, The Fifth People＇s Hospital of Shanghai, Fudan University, Shanghai 200240, China Department of Dermatology, Huashan Hospital, Fudan University, Shanghai 200040, China)

机构地区：[1]复旦大学附属上海市第五人民医院皮肤科,上海200240 [2]复旦大学附属华山医院皮肤科,上海200040

出　　处：《中国麻风皮肤病杂志》2016年第12期705-708,共4页China Journal of Leprosy and Skin Diseases

摘　　要：目的:明确基底细胞癌在皮肤镜下的特征,为临床皮肤镜鉴别色素性皮损提供参考。方法:分析71例经组织病理确诊为基底细胞癌的皮损皮肤镜图像。结果:最主要的皮肤镜指征按出现频率由高到低分别为:蓝灰色卵圆形巢(78.9%)、血管模式(74.6%)、多发性蓝灰色小球(60.6%)、溃疡(57.7%)、叶状结构(21.1%)。单纯临床诊断符合率为55%,加用皮肤镜后临床诊断符合率为94.4%,提高了40%。结论:皮肤镜可提高临床诊断基底细胞癌的符合率。Objective： To determine the dermoscopic features of basal cell carcinoma （BCC） in order to be used as a reference for the clinical diagnosis. Methods： The dermoscopic images of BCC lesions from 71 patents （71 tissues pathologically diagnosed） .were analyzed. Results： The main dermoscopic features of BCC were large blue-gray ovoid nests （78.9%）, scatter pattern of vessels （74.6%）, multiple blue-gray non-aggregated globules （ 60.6% ）, ulceration （ 57.7% ）, leaf-like areas （ 21.1% ）. The agreement of the clinical diagnosis with dermoscopy was increased by 40% compared to the clinical diagnosis without dermascopy. Conclusion： Dermoscopy can increase the agreement of clinical diagnosis of BCC.

关 键 词：基底细胞癌 鉴别诊断 皮肤镜 

分 类 号：R739.5[医药卫生—肿瘤]