62例基底细胞癌误诊的临床及组织病理分析  

The clinical and histopathological analysis of 62 cases of misdiagnosed basal cell carcinoma

作　　者：尹逊国[1] 牛蕊仙 李冬青 丁冬梅 YIN Xun-guo;NIU Rui-xian;LI Dong-qin;DING Dong-mei(The First People's Hospital of Qujing,Qujing,Yunnan 655000)

机构地区：[1]云南省曲靖市第一人民医院皮肤科,云南曲靖655000

出　　处：《皮肤病与性病》2020年第5期634-636,共3页Dermatology and Venereology

摘　　要：目的分析62例基底细胞癌误诊情况,提高诊断水平,避免误诊误治。方法回顾性分析62例基底细胞癌初步误诊病人临床及组织病理资料。结果62例患者中误诊为脂溢性角化病7例;色素痣6例;鳞状细胞癌4例;恶性黑素瘤3例;Bowen病3例;日光性角化病2例;乳房外paget病3例;化脓性肉芽肿3例;血管瘤2例;寻常疣3例;炎性肉芽肿3例;表皮囊肿3例;毛母细胞瘤3例;皮肤溃疡4例;盘状红斑狼疮1例;增生性瘢痕2例;皮肤纤维瘤2例;蓝痣1例;包块性质待诊7例。结论提高临床水平及皮肤病检水平不仅减少误诊误治,更重要的是为治疗做出更好的选择。Objective To analyze 62 cases of misdiagnosed basal cell carcinoma,and improve the level of diagnosis and avoid misdiagnosis and mistreatment.Methods The clinical and histopathological data of 62 patients with primary misdiagnosis of basal cell carcinoma were analyzed retrospectively.Results Among 62 patients,7 were misdiagnosed as seborrheic keratosis,6 as pigmented nevus,4 as squamous cell carcinoma,3 as malignant melanoma,3 as Bowen’s disease,2 as actinic keratosis,3 as paget’s disease outside the breast,3 as pyogenic granuloma,2 as hemangioma,3 as verruca vulgaris,3 as inflammatory granuloma,3 as epidermal cyst,and 3 as trichoblastoma.There were 4 cases of ulcer,1 case of discoid lupus erythematosus,2 cases of hypertrophic scar,2 cases of dermatofibroma,1 case of blue nevus and 7 cases of mass pending diagnosis.Conclusion Improving clinical level and biopsy rate not only reduces misdiagnosis and mistreatment,but also makes better choices for treatment.

关 键 词：基底细胞癌 临床病理 组织病理 误诊 

分 类 号：R44[医药卫生—诊断学] R730.261[医药卫生—临床医学]