文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

皮肤癌

Skin Cancer

作者信息

Sathe Nishad C., Zito Patrick M.

机构信息

University of Miami; Miller School of Medicine

出版信息


DOI:
PMID:28722978
Abstract

Skin neoplasms are one of the most common diagnoses among patient encounters. Evaluating both benign and malignant neoplasms is vital, particularly due to the increasing incidence of skin cancers and complications associated with the condition. Skin cancer has multiple etiologic factors, with UV radiation-induced DNA damage and oncogenesis being the most prominent. Preventive strategies, such as sunscreen application, are essential in reducing risk. After evaluation by a trained healthcare provider, a biopsy is typically performed, and histopathological evaluation helps confirm the diagnosis and differentiate the type of skin cancer from other conditions. Management of skin cancer may involve observation, topical therapies, local non-topical treatments (eg, antineoplastic medication injections), systemic regimens (eg, chemotherapy and immunotherapy), radiation therapy, and surgical or procedural interventions (eg, Mohs micrographic surgery and cryosurgery). The skin's anatomical complexity allows skin cancer to arise from any of its cells or components. The proliferation of cells in skin cancer can be benign or malignant (see  Anatomy of the Human Skin). Please see StatPearls' companion resource, "Anatomy, Skin (Integument)," for more information on skin anatomy. In standard literature, malignant skin cancer is typically categorized into melanoma and nonmelanoma skin cancers, which usually refer to basal cell carcinoma or squamous cell carcinoma. However, this classification can be problematic, as skin cancer can originate from various cells and subdivisions of the skin. Benign epidermal tumors may include epidermal nevi, pseudoepitheliomatous hyperplasia (eg, prurigo nodularis), and acanthomas (eg, seborrheic keratosis). Premalignant dysplasia, such as actinic keratosis and arsenical keratosis, may also be present. Malignant tumors of the epidermis include intraepidermal carcinoma (eg, Bowen disease), basal cell carcinoma, squamous cell carcinoma, and verrucous carcinoma. Please see StatPearls' companion resources, "Seborrheic Keratosis," "Clear Cell Acanthoma," "Cutaneous Horn," "Keratoacanthoma," "Cutaneous Melanoacanthoma," "Cutaneous Squamous Cell Carcinoma," "Intraepidermal Carcinoma," and "Basal Cell Carcinoma," for more information on common epidermal tumors. Pigmentary lesions include those with basal melanocytic proliferation (eg, solar lentigo), junctional or dermal melanocytic lesions (eg, Spitz nevus), dysplastic lesions (eg, dysplastic nevus), and malignant lesions (eg, melanoma, clear cell sarcoma). Please see StatPearls' companion resources, "Subungual Melanoma," "Lentigo Maligna Melanoma," "Metastatic Melanoma," "Dysplastic Nevi," "Atypical Mole," "Acral Lentiginous Melanoma," and "Congenital Melanocytic Nevi," for more information on pigmentary lesions relevant to skin cancer.  Skin cancer may arise from cutaneous appendages, such as hair follicles (eg, desmoplastic trichoepithelioma), sebaceous glands (eg, sebaceous adenoma and sebaceous carcinoma), apocrine glands (eg, spiradenoma), and eccrine glands (eg, porocarcinoma). Please see StatPearls' companion resources, "Desmoplastic Trichoepithelioma," "Sebaceous Carcinoma," "Syringoma," "Spiradenoma," "Trichoblastoma and Trichoepithelioma," and "Cylindroma," for more information on tumors of cutaneous appendages. Fibrous tissues of the skin can also proliferate, leading to skin cancer, such as dermatofibroma and its malignant counterpart, dermatofibrosarcoma protuberans. Please see StatPearls' companion resources, "Dermatofibrosarcoma Protuberans" and "Dermatofibroma," for more information on fibrous tumors.  The presence of fat, muscle, cartilage, and bone can lead to skin cancers such as liposarcoma, leiomyosarcoma, chondroma, and osteosarcoma (although osteosarcoma may be considered metastatic by some). Please see StatPearls' companion resources, "Atypical Fibroxanthoma" and "Leiomyosarcoma," for more information on fat, muscle, cartilage, and bone tumors.  Benign and malignant skin cancers can arise from neural tissue, such as Merkel cell carcinoma and schwannoma, or from vascular tissue, such as hemangioma and angiosarcoma. Please see StatPearls' companion resources, "Angiolymphoid Hyperplasia With Eosinophilia," "Angiosarcoma," "Merkel Cell Carcinoma of the Skin," "Neurothekeoma," "Hemangioma," "Cutaneous Vascular Malignancies," "Angiosarcoma," " Kaposi Sarcoma," and "Cutaneous Angiofibroma," for more information on common tumors of neural and vascular origin. Infiltrative skin cancers can arise from various immune cells that reside in the skin, including mastocytoma, xanthoma, Langerhans cell histiocytosis, T-cell lymphoma, natural killer (NK)—cell lymphoma, and B-cell lymphoma. Please see StatPearls' companion resources "Sezary Syndrome," "Extranodal NK-Cell Lymphoma," "Peripheral T-Cell Lymphoma," "Dermatopathology Evaluation of Cysts," "Mastocytoma," "Mycosis Fungoides," and "Lymphomatoid Papulosis," for more information.

摘要

皮肤肿瘤是患者就诊时最常见的诊断之一。评估良性和恶性肿瘤至关重要,特别是考虑到皮肤癌发病率的上升以及与之相关的并发症。皮肤癌有多种病因,其中紫外线辐射导致的DNA损伤和肿瘤发生最为突出。防晒等预防策略对于降低风险至关重要。经专业医疗人员评估后,通常会进行活检,组织病理学评估有助于确诊并区分皮肤癌的类型与其他病症。皮肤癌的治疗可能包括观察、局部治疗、局部非局部治疗(如抗肿瘤药物注射)、全身治疗方案(如化疗和免疫治疗)、放射治疗以及手术或程序性干预(如莫氏显微外科手术和冷冻手术)。皮肤的解剖结构复杂,使得皮肤癌可起源于其任何细胞或成分。皮肤癌中的细胞增殖可以是良性的或恶性的(见人体皮肤解剖)。有关皮肤解剖的更多信息,请参阅StatPearls的配套资源“解剖学,皮肤(被膜)”。在标准文献中,恶性皮肤癌通常分为黑色素瘤和非黑色素瘤皮肤癌,后者通常指基底细胞癌或鳞状细胞癌。然而,这种分类可能存在问题,因为皮肤癌可起源于皮肤的各种细胞和细分部位。良性表皮肿瘤可能包括表皮痣、假上皮瘤样增生(如结节性痒疹)和棘皮瘤(如脂溢性角化病)。也可能存在癌前发育异常,如光化性角化病和砷角化病。表皮恶性肿瘤包括表皮内癌(如鲍温病)、基底细胞癌、鳞状细胞癌和疣状癌。有关常见表皮肿瘤的更多信息,请参阅StatPearls的配套资源“脂溢性角化病”、“透明细胞棘皮瘤”、“皮肤角”、“角化棘皮瘤”、“皮肤黑素棘皮瘤”、“皮肤鳞状细胞癌”、“表皮内癌”和“基底细胞癌”。色素性病变包括那些具有基底黑素细胞增殖的病变(如日光性雀斑样痣)、交界性或真皮黑素细胞病变(如Spitz痣)、发育异常性病变(如发育异常痣)和恶性病变(如黑色素瘤、透明细胞肉瘤)。有关与皮肤癌相关的色素性病变的更多信息,请参阅StatPearls的配套资源“甲下黑色素瘤”、“恶性雀斑样黑色素瘤”、“转移性黑色素瘤”、“发育异常痣”、“非典型痣”、“肢端雀斑样黑色素瘤”和“先天性黑素细胞痣”。皮肤癌可能起源于皮肤附属器,如毛囊(如促结缔组织增生性毛发上皮瘤)、皮脂腺(如皮脂腺腺瘤和皮脂腺癌)、顶泌汗腺(如汗腺螺旋腺瘤)和小汗腺(如汗孔癌)。有关皮肤附属器肿瘤的更多信息,请参阅StatPearls的配套资源“促结缔组织增生性毛发上皮瘤”、“皮脂腺癌”、“汗管瘤”、“汗腺螺旋腺瘤”、“毛母细胞瘤和毛发上皮瘤”和“圆柱瘤”。皮肤的纤维组织也可能增生,导致皮肤癌,如皮肤纤维瘤及其恶性对应物隆突性皮肤纤维肉瘤。有关纤维性肿瘤的更多信息,请参阅StatPearls的配套资源“隆突性皮肤纤维肉瘤”和“皮肤纤维瘤”。脂肪、肌肉、软骨和骨的存在可导致皮肤癌,如脂肪肉瘤、平滑肌肉瘤、软骨瘤和骨肉瘤(尽管有些人可能认为骨肉瘤是转移性的)。有关脂肪、肌肉、软骨和骨肿瘤的更多信息,请参阅StatPearls的配套资源“非典型纤维黄色瘤”和“平滑肌肉瘤”。良性和恶性皮肤癌可起源于神经组织,如默克尔细胞癌和神经鞘瘤,或起源于血管组织,如血管瘤和血管肉瘤。有关神经和血管起源的常见肿瘤的更多信息,请参阅StatPearls的配套资源“伴有嗜酸性粒细胞增多的血管淋巴样增生”、“血管肉瘤”、“皮肤默克尔细胞癌”、“神经鞘瘤”、“血管瘤”、“皮肤血管恶性肿瘤”、“血管肉瘤”、“卡波西肉瘤”和“皮肤血管纤维瘤”。浸润性皮肤癌可起源于皮肤中存在的各种免疫细胞,包括肥大细胞瘤、黄瘤、朗格汉斯细胞组织细胞增多症、T细胞淋巴瘤、自然杀伤(NK)细胞淋巴瘤和B细胞淋巴瘤。有关更多信息,请参阅StatPearls的配套资源“塞扎里综合征”、“结外NK细胞淋巴瘤”、“外周T细胞淋巴瘤”、“囊肿的皮肤病理学评估”、“肥大细胞瘤”、“蕈样肉芽肿”和“淋巴瘤样丘疹病”。

相似文献

[1]
Skin Cancer

2025-1

[2]
Systemic treatments for metastatic cutaneous melanoma.

Cochrane Database Syst Rev. 2018-2-6

[3]
Sexual Harassment and Prevention Training

2025-1

[4]
Gluten-Associated Medical Problems

2025-1

[5]
Management of urinary stones by experts in stone disease (ESD 2025).

Arch Ital Urol Androl. 2025-6-30

[6]
-Related Overgrowth Spectrum

1993

[7]
Sun protection for preventing basal cell and squamous cell skin cancers.

Cochrane Database Syst Rev. 2016-7-25

[8]
Hyperaldosteronism

2025-1

[9]
Idiopathic (Genetic) Generalized Epilepsy

2025-1

[10]
Changes in melanocytic nevi treated with laser hair removal: A systematic review.

Lasers Surg Med. 2023-9

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索