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[基底细胞癌、鳞状细胞癌及皮肤癌前病变——如何治疗?]

[Basal cell carcinoma, squamous cell carcinoma and premalignant skin lesions--how to treat?].

作者信息

Pitkänen Sari, Jeskanen Leila, Ylitalo Leea

出版信息

Duodecim. 2014;130(6):643-53.

PMID:24724463
Abstract

Increasing exposure to UV radiation is considered the most important etiologic factor of nonmelanoma skin cancers. Consequently, exposed areas such as the scalp and face, are the primary areas for developing non-melanoma skin cancers. Once a patient has presented with one tumor, additional lesions are common. The diagnosis is based on typical clinical picture and biopsy or excision for histopathological analysis. Various non-surgical treatment options have been established. Superficial basal cell carcinoma, superficial carcinoma in situ and all actinic keratoses are preferentially treated non-surgically. Most other basal cell and squamous cell carcinomas should be surgically removed.

摘要

紫外线辐射暴露增加被认为是非黑色素瘤皮肤癌最重要的病因。因此,头皮和面部等暴露部位是发生非黑色素瘤皮肤癌的主要部位。一旦患者出现一个肿瘤,额外的病变很常见。诊断基于典型的临床表现以及活检或切除以进行组织病理学分析。已经确立了各种非手术治疗选择。浅表基底细胞癌、浅表原位癌和所有光化性角化病优先采用非手术治疗。大多数其他基底细胞癌和鳞状细胞癌应手术切除。

相似文献

1
[Basal cell carcinoma, squamous cell carcinoma and premalignant skin lesions--how to treat?].[基底细胞癌、鳞状细胞癌及皮肤癌前病变——如何治疗?]
Duodecim. 2014;130(6):643-53.
2
Nonmelanoma skin cancer.非黑色素瘤皮肤癌。
Compr Ther. 1996 Mar;22(3):179-82.
3
Common skin cancers.常见皮肤癌。
Minn Med. 2004 Mar;87(3):44-7.
4
Skin diseases with high public health impact. Nonmelanoma skin cancer.对公众健康有重大影响的皮肤病。非黑素瘤皮肤癌。
Eur J Dermatol. 2007 Nov-Dec;17(6):562-3. doi: 10.1684/ejd.2007.0297. Epub 2007 Oct 19.
5
[Epidermoid carcinoma].
Rev Prat. 1999 Apr 15;49(8):818-23.
6
Early detection and treatment of skin cancer.皮肤癌的早期检测与治疗。
Am Fam Physician. 2000 Jul 15;62(2):357-68, 375-6, 381-2.
7
Diagnosis and treatment of basal cell and squamous cell carcinomas.基底细胞癌和鳞状细胞癌的诊断与治疗
Am Fam Physician. 2004 Oct 15;70(8):1481-8.
8
Tumors of the skin. Premalignment and malignant.皮肤肿瘤。癌前病变与恶性肿瘤。
Minn Med. 1974 Oct;57(10):780-7.
9
Nonmelanoma skin cancer. Risks, treatment options, and tips on prevention.非黑色素瘤皮肤癌。风险、治疗选择及预防小贴士。
Postgrad Med. 1995 Dec;98(6):39-40, 45-8, 55-6 passim.
10
The management of non-melanoma skin cancer of the head and neck.头颈部非黑色素瘤皮肤癌的管理
J S C Med Assoc. 1994 Oct;90(10):455-73.

引用本文的文献

1
Retrospective, Registry-based, Cohort Investigation of Clinical Outcomes in Patients with Cutaneous Squamous Cell Carcinoma and Basal Cell Carcinoma in Finland.芬兰基于回顾性登记的队列研究:皮肤鳞状细胞癌和基底细胞癌患者的临床结局。
Acta Derm Venereol. 2022 Apr 8;102:adv00693. doi: 10.2340/actadv.v102.2073.
2
Cost-utility of first-line actinic keratosis treatments in Finland.芬兰一线光化性角化病治疗的成本效益
Adv Ther. 2015 May;32(5):455-76. doi: 10.1007/s12325-015-0211-7. Epub 2015 May 26.