皮肤基底细胞癌临床病理相关因素分析

Clinicopathologic analysis of basal cell carcinoma

目的 分析皮肤基底细胞癌的临床和病理特点,提高临床诊疗水平.方法 对2010年1月至2016年10月156例皮肤基底细胞癌患者的临床资料进行回顾性分析,对所有病例资料的临床及组织病理资料进行统计分析.结果 156例皮肤基底细胞癌患者中,男97例,女59例,年龄（62.33±11.51）岁,;肿瘤个数：1个者152例,2个者2例,3个者1例,4个者1例;病理分型：结节型81例,色素型31例,浅表型12例,硬斑型8例,囊肿型13例,基底鳞癌型2例,纤维上皮瘤型8例.153例（98.1%）发生于头面日光暴露部位.结论 由于BCC在临床表现上与多种色素性疾病相似,病理分型复杂,易出现误诊和漏诊,应尽早完善病理检查明确诊断和治疗.

Objective To analyze the clinical and pathological characteristics of basal cell carcinoma（BCC）,improve the level of clinical diagnosis and treatment.Methods The clinical data of 156 patients with skin basal cell carcinoma from January 2010 to October 2016 were analyzed retrospectively,the clinical and pathological data of all cases were analyzed statistically.Results Among 156 patients of basal cell carcinoma,97 cases of male,female 59 cases,age （62.33±11.51） years;Among the patients,there were 152 cases with one tumour,2 cases with two tumours,1 case with three tomours,1 case with four tomours.Pathological type： 81 cases of nodular type,31 cases of pigment type,12 cases of superficial type,8 cases of porphyry type,13 cases of cyst type,basal type squamous carcinoma in 2 cases,8 cases of fiber type epithelioma,Among these patients,153 cases （98.1%） occurred in head or face of sun exposed areas.Conclusions Due to the clinical manifestations of BCC is similar to a variety of pigmented diseases,pathological classification is complex,prone to misdiagnosis and missed diagnosis,should be done as soon as possible to improve the diagnosis and treatment of pathological examination.