2929例色痣的临床病理分析

Clinicopathologic analysis of 2929 patients with melanocytic nevus

目的:明确色痣的临床病理特征。方法:对2010-2014年皮肤科门诊2929例行手术切除的色痣患者资料进行回顾性分析。结果:2929例患者中男893例,女2036例。男性患者交界痣、复合痣及皮内痣构成比分别为6.05%、18.92%及75.03%,女性患者分别为8.79%、18.27%及72.94%。头面、颈、躯干、四肢部位的交界痣、复合痣及皮内痣构成比分别为2.75%、17.27%及79.98%。掌跖、外阴部位3种痣的构成比分别为10.07%,30.26%及59.04%。随着年龄的增长,皮内痣所占比例逐渐升高。结论:性别、年龄和部位不同,色痣病理类型的构成比不同。

Objective：To determine the clinicopathological characteristics of melanocytic nevi. Methods：The data of 2929 cases with melanocytic nevi were analyzed retrospectively. Results： There were 893 males and 2036 females. The proportion of junctional nevus, compound nevus and intradermal nevus in male patients was 6.05%, 8.92% and 75.03%, while in female patients the proportion was 8.79%, 18.27% and 72.94%. The distribution of the nevi in head, neck, trunk and limbs was 2.75%, 17.27% and 79.98%, and the distri-bution of the nevi in palmoplantar and vulva was 10.07%, 30.26% and 59.04%. The proportion of intradermal nevus increased as aging. Conclusion：The types of nevus are different in different gender, age and body site.