Jacobs Robert J, Phillips Geraint
Department of Optometry and Vision Science, The University of Auckland, New Zealand.
Clin Exp Optom. 2006 May;89(3):171-5. doi: 10.1111/j.1444-0938.2006.00032.x.
Increasing age and UV exposure are well-known associations with precancerous and cancerous skin lesions, including actinic (solar) keratosis, and squamous and basal cell carcinomata. This report describes a patient with a facial skin lesion close to an eye that was initially believed to be actinic (solar) keratosis but was subsequently diagnosed as a basal cell carcinoma (BCC). The diagnosis of BCC was helped pre-operatively by manipulation of the surrounding facial skin, which revealed the characteristic rolled edges and telangiectasis. Referral to his general medical practitioner (GP) resulted in surgical excision of the lesion. This procedure was performed inexpensively by the local GP as the lesion was not large and was in an accessible position. The lesion and the course of recovery over four weeks were documented photographically. The lesion was surgically excised and the diagnosis of basal cell carcinoma was confirmed by pathological examination. The wound healed well and the final cosmetic result was excellent. This patient illustrates the importance of careful observation and photo-documentation of suspicious skin lesions. A review of the treatment options for these lesions is included in this report.
年龄增长和紫外线暴露是众所周知的与癌前和癌性皮肤病变相关的因素，包括光化性（日光性）角化病、鳞状细胞癌和基底细胞癌。本报告描述了一名患者，其眼部附近面部皮肤病变最初被认为是光化性（日光性）角化病，但随后被诊断为基底细胞癌（BCC）。术前通过对周围面部皮肤的触诊辅助了基底细胞癌的诊断，触诊发现了特征性的卷边和毛细血管扩张。转诊至其全科医生（GP）后，该病变得以手术切除。由于病变不大且位置易于操作，当地全科医生以较低成本进行了该手术。对病变及四周的恢复过程进行了拍照记录。病变经手术切除，病理检查证实为基底细胞癌。伤口愈合良好，最终美容效果极佳。该患者说明了对可疑皮肤病变进行仔细观察和拍照记录的重要性。本报告还包括了对这些病变治疗选择的综述。
