Zaballos P, Llambrich A, Puig S, Malvehy J
Dermatology Department, Hospital de Sant Pau i Santa Tecla, 43003 Tarragona, Spain.
Br J Dermatol. 2005 Sep;153(3):653-6. doi: 10.1111/j.1365-2133.2005.06717.x.
The association of two different neoplasms in the same lesion is uncommon and has been reported as collision or compound tumours in the medical literature. In cases where a malignant neoplasm exists in association with a benign lesion it is important to make an accurate diagnosis in order to treat the lesions correctly. Dermoscopy is an in vivo, noninvasive technique that improves the clinical accuracy in diagnosing melanoma and other pigmented skin lesions. We describe the dermoscopic characteristics of various collision or compound tumours that were composed of benign and malignant neoplasms: two cases of seborrhoeic keratosis associated with basal cell carcinoma, two cases of melanocytic naevus and basal cell carcinoma and one case of dermatofibroma associated with basal cell carcinoma. We conclude that dermoscopy is a useful tool for improving the recognition of these kinds of tumours.
同一病变中出现两种不同肿瘤的情况并不常见,在医学文献中被报道为碰撞瘤或复合瘤。当恶性肿瘤与良性病变同时存在时,准确诊断对于正确治疗这些病变至关重要。皮肤镜检查是一种活体无创技术,可提高黑色素瘤和其他色素性皮肤病变的临床诊断准确性。我们描述了由良性和恶性肿瘤组成的各种碰撞瘤或复合瘤的皮肤镜特征:两例脂溢性角化病合并基底细胞癌、两例黑素细胞痣合并基底细胞癌以及一例皮肤纤维瘤合并基底细胞癌。我们得出结论,皮肤镜检查是提高这类肿瘤识别率的有用工具。