摘要
目的:探讨面部皮肤恶性肿瘤的临床特点,提高美容医生对该类疾病的认识。方法:回顾分析笔者科室2007年6月～2011月6月收治的490例面部皮肤恶性肿瘤患者的临床病理资料。结果:490例患者,其中男227例,女263例,男女之比为0.86:1,其中基底细胞癌221例(45.1%),鳞状细胞癌60例(12.2%),皮肤恶性黑素瘤26例(5.3%),鲍温病16例(3.3%),日光性角化病148例(30.2%),其他恶性肿瘤19例(3.9%)。临床上面部皮肤恶性肿瘤易误诊为色痣、脂溢性角化病、疣、表皮囊肿、瘢痕、化脓性肉芽肿、皮肤纤维瘤等。结论:面部皮肤恶性肿瘤临床表现多样,易和良性增生性疾病混淆,对于发生在面部的不确定增生物,应尽早行病理检查,明确诊断,为选择正确的治疗手段提供依据。
Objective To analyze the clinical profiles of cutaneous malignancies on the facial skin, and provide some clues for the early diagnosis of the malignancies. Methods Retrospective analysis of 490 cases of carcinomas on the facial skin from the department of dermatology in Xijing Hospital between Jun.lst 2007 to May.31st,2011. Results A total of 490 patients （227 male and 263 female） suffering cutaneous malignancies on the facial skin were enrolled. Pathological diagnosis of the patients were Basal Cell Carcinoma （221, 45.1%）, Squamous Cell Carcinoma （60,12.2%）, melanoma （26, 3.3%）, Bowen＇s disease （148, 30.2%）, and other malignant tumors （19,3.9%）.These malignancies were often misdiagnosed as pigmented nevi, seborrheic keratosis, epidermal cyst,etc.,due to the misleading clinical appearances. Conclusion Cutaneous malignancies on the facial skin could be with misleading clinical appearances, and misdiagnosed as benign tumors. For those suspected malignancies, a biopsy is recommended to ensure the diagnosis and following treatment accurate.
出处
《中国美容医学》
CAS
2012年第11期1999-2000,共2页
Chinese Journal of Aesthetic Medicine
基金
国家自然科学基金(81071305)
关键词
面部
皮肤恶性肿瘤
组织病理
facial
Cutaneous malignancy
histopathology
