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角化棘皮瘤70例临床分析 被引量:3

Clinical analysis of 70 cases of keratoacanthoma
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摘要 目的探讨角化棘皮瘤的诊断、鉴别诊断和治疗。方法对70例角化棘皮瘤的病史资料结合近期的基础研究结果进行分析。结果所有病例病理证实为角化棘皮瘤,可见有丝核分裂像。所有病例手术后一期愈合,随访至今无复发。结论角化棘皮瘤是一种比较常见的发生于曝光部位的皮肤肿瘤,常表现为类似鳞癌的孤立结节,其独特性为生长迅速,并有自愈的可能。手术治疗效果良好。 Objective Seventy cases of keratoacanthoma are discussed about diagnosis, differential diagnosis and management. Methods To analyse the informations from the 70 cases of keratoacanthoma and discuss according to recent progress in basic sciences. Results All the patients occurred as an isolated nodule with the mean diameter 1.7cm. Among these patients, 67 cases (96% } occurred at the area of sun-exposed skin. All the patients received the surgeries with no recurrence. Conclusion Keratoacanthoma is a relatively common epidermal tumor that almost invariably appears at the area of sun-exposed skin. It is a pseudo-cancer, occurring as an isolated nodule, and mimicking squamous cell carcinoma. Unique features are its rapid growth rate, much faster than that of an SCC, and its spontaneous remission over a period of several months. Surgical excision is recommended.
出处 《实用医院临床杂志》 2009年第2期42-43,共2页 Practical Journal of Clinical Medicine
关键词 角化棘皮瘤 鳞癌 病理 诊断 Keratoacanthoma Squamous cell carcinoma Pathology Therapeutic effect
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