Baldwin H E, Berck C M, Lynfield Y L
State University of New York-Health Science Center, Brooklyn 11203.
J Am Acad Dermatol. 1991 Nov;25(5 Pt 1):819-30. doi: 10.1016/s0190-9622(08)80976-0.
The differential diagnosis of subcutaneous lesions of the scalp is extensive and includes many tumors with intracranial and intraosseous extension. The vast majority of lesions seen by the dermatologist will be benign. However, certain lesional characteristics increase the likelihood of a serious disorder and these must be evaluated preoperatively. We review the important features of subcutaneous scalp lesions and suggest a systematic approach to diagnosis based on patient age, lesion morphology, location, and radiographic findings.
头皮皮下病变的鉴别诊断范围广泛,包括许多可向颅内和骨内扩展的肿瘤。皮肤科医生所见的绝大多数病变为良性。然而,某些病变特征会增加严重疾病的可能性,术前必须对这些特征进行评估。我们回顾了头皮皮下病变的重要特征,并基于患者年龄、病变形态、位置和影像学表现,提出了一种系统的诊断方法。