Montero Pérez F J, Muñoz Alamo M, Calvo-Rubio Burgos M, Fernández Roldan J C
Aten Primaria. 1989 Nov;6(9):660-4.
In the present study, 147 skin lesions suggestive of epithelioma are reported, corresponding to 129 patients evaluated in a Dermatologic clinic from the Social Security in Cordoba. In 30 lesions biopsy could not be performed owing to patient's refusal. Out of the remaining 117, 89 corresponded to epitheliomas (68 basal-cell epitheliomas and 21 squamous-cell epitheliomas). The incidence was 55.4/100 000/year, with a proportion of basal-cell epitheliomas of 3:1. The higher rate was found in males older than 50 years, peasants and with previous exposure to sun. The most common localization was the nose and malar region for basal-cell epitheliomas and the lower lip for squamous-cell epitheliomas. It is concluded that early diagnosis of skin and mucosal epitheliomas is important owing to their frequent morbidity. In addition, the need for a higher suspicion index both in the population and the general practitioners is emphasized.
在本研究中,报告了147例疑似上皮瘤的皮肤病变,对应于科尔多瓦社会保障局皮肤科诊所评估的129名患者。由于患者拒绝,30例病变无法进行活检。在其余117例中,89例为上皮瘤(68例基底细胞上皮瘤和21例鳞状细胞上皮瘤)。发病率为每年55.4/10万,基底细胞上皮瘤与鳞状细胞上皮瘤的比例为3:1。发病率较高的是50岁以上的男性、农民以及既往有阳光暴露史者。基底细胞上皮瘤最常见的部位是鼻子和颧部区域,鳞状细胞上皮瘤最常见的部位是下唇。结论是,由于皮肤和黏膜上皮瘤发病率较高,早期诊断很重要。此外,强调了普通人群和全科医生都需要有更高的怀疑指数。