Takenouchi Tatsuya
Division of Dermatology, Niigata Cancer Center Hospital.
Gan To Kagaku Ryoho. 2006 Oct;33(10):1398-403.
Basal cell carcinoma (BCC) is the most common skin cancer. It tends to be locally invasive but rarely metastasizes. Dermoscopy has been reported as a useful in vivo method for the accurate clinical diagnosis of BCC. The first-line treatment for BCC is surgical excision, however, clinical trials of non-surgical treatment modalities such as topical imiquimod and photodynamic therapy have recently been published in the English literature, and are gradually being introduced into Japan. Although clinical practice guidelines for the management of BCC have been already published in several countries, original guidelines for Japan are required in light of clinical and ethnic differences.
基底细胞癌(BCC)是最常见的皮肤癌。它往往具有局部侵袭性,但很少发生转移。皮肤镜检查已被报道为一种用于基底细胞癌准确临床诊断的有用的体内检查方法。基底细胞癌的一线治疗方法是手术切除,然而,诸如局部应用咪喹莫特和光动力疗法等非手术治疗方式的临床试验最近已在英文文献中发表,并逐渐被引入日本。尽管几个国家已经发布了基底细胞癌管理的临床实践指南,但鉴于临床和种族差异,日本仍需要制定原创性指南。