摘要
目的:分析斯皮茨痣(Spitznevus)的临床及组织病理特点。方法:采用回顾性分析对16例斯皮茨痣患者的临床及组织病理资料进行分析。结果:16例斯皮茨痣多发生于头面部和四肢,主要表现为黑色丘疹或斑疹,临床上容易误诊为色素痣。大部分斯皮茨痣具有良性肿瘤的特点,少数斯皮茨痣结构呈不对称性或细胞具有异形性,组织病理改变结合临床资料分析是诊断的关键。结论:表皮和附属器增生可作为斯皮茨痣与黑素瘤鉴别的依据之一,国人斯皮茨痣Kamino小体较少见。
Objective: To evaluate the clinical and histopathological data of Spitz nevus. Methods: A retrospective analysis of 16 cases of Spitz nevus was carried out. Results: The most frequent anatomical location of Spitz nevus was the head and extremities. Spitz nevus always presented as black papules and maeulae and was easy to be misdiagnosed as common nevus. Histopathologieally, most of these Spitz nevus had the characteristics of benign tumor, and rare cases were asymmetric or had cytological atypia. It was important to make a correct diagnosis based on histopathologieal and clinical data. Conclusion: Hyperplasia of epidermis and appendix should be considered as a clue to differentiate Spitz nevus from melanoma. Kamino body was rare in Chinese cases.
出处
《临床皮肤科杂志》
CAS
CSCD
北大核心
2006年第10期640-642,共3页
Journal of Clinical Dermatology
关键词
痣
斯皮茨
痣
梭形细胞
痣
上皮样细胞
nevus, Spitz
nevus,spindle cell
nevus, epithelioid cell