多发性浅表型基底细胞癌临床及病理特征分析:附6例报告  

Clinical and pathological characteristics of multiple superficial basal cell carcinoma:A report of 6 cases

作　　者：何萍秀 夏碧霞 吴忆 刘凯 程丽芳 Pingxiu;XIA Bixia;WU Yi;LIU Kai;CHENG Lifang(Dermatology Hospital of Jiangxi Province,Jiangxi Provincial Clinical Research Center for Skin Diseases,Candidate Branch National Clinical Research Center for Skin Disease,Nanchang 330001,China)

机构地区：[1]江西省皮肤病专科医院,江西省皮肤病临床医学研究中心,国家皮肤与免疫疾病临床医学研究中心分中心建设单位,江西南昌330001

出　　处：《皮肤性病诊疗学杂志》2025年第2期97-101,共5页Journal of Diagnosis and Therapy on Dermato-venereology

基　　金：江西省皮肤病临床医学研究中心科研项目(20212BCG74003)。

摘　　要：目的探讨多发性浅表型基底细胞癌(sBCC)的临床与组织病理特点。方法回顾性分析6例多发性sBCC的临床与组织病理学特点。结果6例患者平均发病年龄71.66岁,病程中位数为2年。5例(83.33%)患者的皮疹位于曝光部位,皮损多表现为红斑或斑块,表面有糜烂、结痂和溃疡。组织病理检查显示2例(33.33%)合并其他亚型BCC。临床与病理诊断符合率为33.33%,误诊为日光性角化病及皮肤鳞状细胞癌各2例。结论多发性sBCC多见于老年人头部,皮疹以糜烂结痂性红斑及斑块为主,临床易误诊,组织病理学检查可确诊,组织学上常合并其他病理亚型。对其正确认识有利于早期诊断和及时治疗。Objective To investigate the characteristics of multiple superficial basal cell carcinoma.Methods The clinical data from 6 patients with multiple superficial basal cell carcinoma were retrospectively analyzed.Results The mean age of the patients was 71.66 years,and the median course of disease was 2 years.Patients with lesions on the exposed sites accounted for 83.33%(5/6).Skin lesions often presented as erythemas or plaques,with erosions,scabs,and ulcers on the surface.Pathological examination showed that 2 cases(33.33%)were complicated with other subtypes of BCC,and the coincidence rate of clinical and pathological diagnosis was 33.33%.Conclusions Multiple superficial basal cell carcinoma is more common on the head of the elderly,and skin lesions present as erythemas and plaques with erosion and crust.It can be easily misdiagnosed in clinic.The diagnosis can be confirmed by histopathological examination.A histopathologic feature of this disease is accompanied by other pathological subtypes.Correct understanding of this disease is beneficial for early diagnosis and timely treatment.

关 键 词：基底细胞癌 多发性 浅表型 临床及病理分析 

分 类 号：R73[医药卫生—肿瘤]