新疆164例基底细胞癌临床病理分析

Clinical and pathological analysis of 164 cases with basal cell carcinoma in XinJiang

目的：探讨新疆皮肤基底细胞癌（BCC）组织病理特征及其鉴别诊断，以对治疗方案的选择提供指导。方法：分析新疆164例患者的临床及组织病理资料。结果：按组织病理分型，实性BCC75例，色素性BCC33例，浅表性BCC15例，硬斑病样BCC11例，囊性BCC6例，角化性BCC10例，腺样BCC5例，纤维上皮瘤性BCC4例，实体与其他混合型5例。以上各型易与脂溢性角化病、鳞状细胞癌、日光性角化病、Bowen病、色素痣、角化棘皮瘤、黑素细胞瘤等鉴别。结论：各型皮肤基底细胞癌均具有明确的组织病理学特征，易与其他皮肤疾病鉴别。外科手术仍为首选治疗，采用扩切病变部后植皮术或旋转皮瓣，既达到根治目的，又保持美观，Mohs显微外科手术在预防复发和医学美容方面具有更大的优势，应用前景较好。

Objective To investigate the the histopathologieal features and differential diagnosis of basal cell carcinoma （BCC） in XinJiang, in order to pro- vide guidance on treatment options. Method The clinical and pathological data of 164 patients in Xinjiang were analyzed. Results According to pathological type, 75 cases of Solid type BCC ,33 cases of pigmented BCC, 15 cases of superficial BCC, morphea, BCC 11 cases of Morphea--like BCC,6 cases of cystic BCC, 1O cases of keratotlc BCC, 5 eases of Adenoid BCC, 4 cases of Fibroepithelioma BCC, eEntity type and mixed type 5 cases. Identification of the above type is easy differentiated from seborrheic keratosis, squamous cell carcinoma, actinic keratosis, Bowen disease, nevi, keratoacanthoma, melanocytes aneurysm. Conclusion The type of basal cell carcinoma with clear histopathologic features, easy to identify with other skin diseases. Surgery remains the preferred treatment, expan- sion cut lesions of the Ministry of skin grafting or rotation flaps, both to achieve the purpose of cure, but also to maintain the appearance, Mohs＂ micrographie surgery has a greater advantage in the prevention of recurrence and medical cosmetic application prospects. Better.