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[面部毛囊蠕形螨感染与表皮肿瘤的关系]

[The relationship between infestation of Demodex folliculorum and epidermal neoplasm on face].

作者信息

Sun Jing, Gui Xian, He Jin, Liu Hui-min, Yu Hong-yu, Xia Chun-yan, Xu Yi

机构信息

Department of Pathology, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China.

出版信息

Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi. 2005 Dec 30;23(6):428-31.

Abstract

OBJECTIVE

To discuss the relationship between infestation of Demodex folliculorum and facial epidermal neoplasm.

METHODS

A retrospective analysis was made with the pathological data of 153 cases collected in the recent four years on facial basal cell carcinoma, squamous cell carcinoma, seborrheic keratosis and trichilemmoma. The infection rate of Demodex folliculorum in the four types of neoplasm was evaluated and the relationship between the infection rate and the location of neoplasm and age was analyzed by V2 test.

RESULTS

There was a significant difference in the infestation rate of Demodex folliculorum in the four types of epidermal neoplasm(P < 0.05), with the highest rate in basal cell carcinoma(56%), compared with seborrheic keratosis (21%), trichilemmoma (20%), and squamous cell carcinoma (14%). The infestation rate of Demodex folliculorum was significantly different in variant locations of epidermal neoplasm (P < 0.05). The highest infestation rate was in cases of nasal neoplasm (71%), compared with other parts. In addition, among twelve cases of Demodex folliculorum positive nasal neoplasm, nine were basal cell carcinoma; ten of thirty-six basal cell carcinoma occurred on nose.

CONCLUSION

The highest infestation rate of Demodex folliculorum was in cases of nasal epidermal neoplasm compared with other locations, and the cases of basal cell carcinoma showed the highest infestation rate among the four types of neoplasm.

摘要

目的

探讨毛囊蠕形螨感染与面部表皮肿瘤之间的关系。

方法

回顾性分析近四年收集的153例面部基底细胞癌、鳞状细胞癌、脂溢性角化病和毛鞘瘤的病理资料。评估这四种肿瘤中毛囊蠕形螨的感染率,并通过卡方检验分析感染率与肿瘤位置和年龄之间的关系。

结果

四种表皮肿瘤中毛囊蠕形螨的感染率存在显著差异(P<0.05),其中基底细胞癌的感染率最高(56%),其次为脂溢性角化病(21%)、毛鞘瘤(20%)和鳞状细胞癌(14%)。表皮肿瘤不同部位的毛囊蠕形螨感染率有显著差异(P<0.05)。肿瘤位于鼻部的感染率最高(71%),高于其他部位。此外,在12例毛囊蠕形螨阳性的鼻部肿瘤中,9例为基底细胞癌;36例基底细胞癌中有10例发生在鼻部。

结论

与其他部位相比,鼻部表皮肿瘤中毛囊蠕形螨的感染率最高,且在四种肿瘤类型中基底细胞癌的感染率最高。

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