色痣样皮损952例临床与病理分析

The Analysis of the Clinical and Pathological Features of the 952 Cases of Cutaneous Pigmented Nevus-like Lesions

目的分析色痣样皮损临床与组织病理诊断的关系。方法对952例临床诊断为色痣的病例作临床表现及病理诊断的回顾性分析。结果 952例临床诊断为色痣的病例中,病理结果符合色痣者624例,确诊率为65.55%,其中皮内痣316例(50.64%)、混合痣236例(37.82%)、交界痣72例(11.54%);有328例病理结果与临床诊断不符合,占34.46%,不吻合病例的病理诊断前五名为脂溢性角化病(SK)177例(18.59%)、蓝痣45例(4.72%)、血管瘤25例(2.62%)、纤维瘤11例(1.15%)、雀斑样痣7例(0.74%)。结论组织病理检查是确诊色痣的金标准。

Objective To investigate the relationship between clinical and pathological features of cutaneous pigmented nevus-like lesions. Methods Retrospective study on the clinical and pathological diagnostic features of the 952 cases of pigmented nevus lesions. Results In these cases,624 cases （65.55%） have been diagnosed pigmented nevus by pathological examination. 316 cases （50. 64% ） were intradermal nevus, 236 cases （37.82%） were compound nevus,72 cases （11.54%） were junctional nevus. The remaining 328 cases were diagnosed mostly as seborrheic keratosis （SK） （ 18. 59% ）, blue nevus （4. 72% ）, vascular tumor （2. 62% ） ,fibroma（ 1.15% ） ,lentigo（0. 74% ）. Conclusion Pathological examination is the gold standard for diagnosis.