头皮肿瘤的皮肤镜检查：国际皮肤镜学会进行的一项多中心研究。

Dermoscopy of scalp tumours: a multi-centre study conducted by the international dermoscopy society.

机构信息

Skin Cancer Unit, Istituto Tumori Romagna (IRST), Meldola (FC), Italy.

出版信息

J Eur Acad Dermatol Venereol. 2012 Aug;26(8):953-63. doi: 10.1111/j.1468-3083.2011.04188.x. Epub 2011 Jul 26.

DOI:10.1111/j.1468-3083.2011.04188.x

PMID:21790795

Abstract

BACKGROUND

Little is known about the dermoscopic features of scalp tumours. Objective To determine the dermoscopic features of scalp tumours.

METHODS

Retrospective analysis of dermoscopic images of histopathologically diagnosed scalp tumours from International Dermoscopy Society members.

RESULTS

A total of 323 tumours of the scalp from 315 patients (mean age: 52 years; range 3-88 years) were analysed. Scalp nevi were significantly associated with young age (<30 years) and exhibited a globular or network pattern with central or perifollicular hypopigmentation. Melanoma and non-melanoma skin cancer were associated with male gender, androgenetic alopecia, age >65 years and sun damage. Atypical network and regression were predictive for thin (≤1 mm) melanomas, whereas advanced melanomas (tumour thickness > 1 mm) revealed blue white veil, unspecific patterns and irregular black blotches or dots.

CONCLUSIONS

The data collected provide a new knowledge regarding the clinical and dermoscopy features of pigmented scalp tumours.

摘要

背景

头皮肿瘤的皮肤镜特征知之甚少。目的确定头皮肿瘤的皮肤镜特征。

方法

对国际皮肤镜学会成员的组织病理学诊断为头皮肿瘤的皮肤镜图像进行回顾性分析。

结果

共分析了 315 例 323 例头皮肿瘤患者（平均年龄：52 岁；范围 3-88 岁）。头皮痣与年轻（<30 岁）显著相关，表现为球形或网状模式，中央或毛囊周围色素减退。黑色素瘤和非黑色素瘤皮肤癌与男性、雄激素性脱发、年龄>65 岁和日光损伤有关。不典型的网络和退行与薄（≤1 毫米）黑色素瘤相关，而晚期黑色素瘤（肿瘤厚度>1 毫米）则显示蓝色白幕、非特异性模式和不规则的黑色斑片或斑点。