皮脂腺增生38例皮肤镜特征分析  

Microscopic Features of 38 Cases with Sebaceous Gland Hyperplasia

作　　者：饶朗 林尔艺 刘夏榕 叶俊儒[4] RAO Lang;LIN Eryi;LIU Xiarong;YE Junru(Department of Dermatology,Chengdu Second People′s Hospital,Chengdu 610021,China;Dermatology Hospital of Southern Medical University,Guangzhou 510095,China;Department of Dermatology,Chengdu Medical College,Chengdu 610500,China;Department of Dermatology,the First Affiliated Hospital of Chengdu Medical College,Chengdu 610500,China)

机构地区：[1]成都市第二人民医院皮肤科,四川成都610021 [2]南方医科大学皮肤病医院,广东广州510095 [3]成都医学院皮肤性病学专业,四川成都610500 [4]成都医学院第一附属医院皮肤科,四川成都610500

出　　处：《中国皮肤性病学杂志》2019年第9期1022-1025,共4页The Chinese Journal of Dermatovenereology

摘　　要：目的探讨皮脂腺增生(SGH)患者皮损皮肤镜下特征。方法收集本科门诊组织病理检查确诊为皮脂腺增生的38例患者共计86处皮损进行皮肤镜检查,分析其皮肤镜下的图像特征。结果38例患者,男21例,女17例,其中早熟性SGH 10例,老年性SGH 28例。86处皮损均为淡黄色背景;5处(5.81%)皮损表面见黄白色鳞屑;86处(100%)皮损边界清楚;82处(95.35%)见淡黄色分叶状结构;79处(91.86%)皮损周围绕以不规则分支状血管;7处(8.14%)可见点状血管不规则分布。早熟性SGH和老年性SGH皮损皮肤镜下表现无明显差异。结论皮脂腺增生患者的皮损在皮肤镜下具有一定的特征性,皮肤镜检查可能为本病的无创性辅助诊断提供依据。Objective To investigate microscopy features of sebaceous gland hyperplasia.Methods Eighty-six lesions from 38 patients diagnosed by histopathology with sebaceous gland hyperplasia was collected.Results Thirty-eight patients include 21 males and 17 females,10 early hyperplasia of sebaceous glands and 28 senile sebaceous hyperplasia.Among the 86 lesions,all the background was faint yellow and the boundaries were clear,yellow and white scales were observed in five lesions,yellow foliated structures in 82 lesions,branch vessel around the lesion was observed in 79 and 7 lesions had dot blood vessel.By microscopy observation there was no different between the two groups.Conclusion There are characteristics of sebaceous gland hyperplasia under the dermoscope,so it can be used as a basis for noninvasive auxiliary diagnosis.

关 键 词：皮脂腺增生 皮肤镜 镜下特征 分析 

分 类 号：R739.5[医药卫生—肿瘤]