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酷似促结缔组织增生性毛发上皮瘤的基底细胞癌:1例皮肤镜与组织学对照病例

Basal Cell Carcinoma Mimicking Desmoplastic Trichoepithelioma: A Case with Correlation of Dermoscopy and Histology.

作者信息

Kunz Michael, Kerl Katrin, Braun Ralph Peter

机构信息

Dermatology Clinic, University Hospital Zurich, Zurich, Switzerland.

出版信息

Case Rep Dermatol. 2018 May 18;10(2):133-137. doi: 10.1159/000489164. eCollection 2018 May-Aug.

DOI:10.1159/000489164
PMID:29928202
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6006647/
Abstract

Basal cell carcinoma (BCC) is the most common cancer in humans worldwide. Many highly specific dermoscopic criteria for BCC are well established in the literature. On the contrary, other malignant or benign skin tumors may mimic BCC by exhibiting similar or even the same dermoscopic features and therefore obscuring the diagnosis of BCC in certain situations. We herein report a case of BCC with dermoscopic features of both BCC and desmoplastic trichoepithelioma (DT). We would like to remind of the often neglected differential diagnosis of DT in a lesion with arborizing vessels and otherwise unusual dermoscopic presentation.

摘要

基底细胞癌(BCC)是全球人类最常见的癌症。文献中已确立了许多针对BCC的高度特异性皮肤镜标准。相反,其他恶性或良性皮肤肿瘤可能通过表现出相似甚至相同的皮肤镜特征来模仿BCC,因此在某些情况下会模糊BCC的诊断。我们在此报告一例具有BCC和促纤维增生性毛发上皮瘤(DT)皮肤镜特征的BCC病例。我们想提醒大家,在具有树枝状血管和其他异常皮肤镜表现的病变中,DT的鉴别诊断常常被忽视。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac37/6006647/bbc1a76f1ca5/cde-0010-0133-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac37/6006647/c3275d792c7a/cde-0010-0133-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac37/6006647/2a8f74cace34/cde-0010-0133-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac37/6006647/bbc1a76f1ca5/cde-0010-0133-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac37/6006647/c3275d792c7a/cde-0010-0133-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac37/6006647/2a8f74cace34/cde-0010-0133-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac37/6006647/bbc1a76f1ca5/cde-0010-0133-g03.jpg

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本文引用的文献

1
Accuracy and confidence in the clinical diagnosis of basal cell cancer using dermoscopy and reflex confocal microscopy.使用皮肤镜和反射式共聚焦显微镜对基底细胞癌进行临床诊断的准确性和可信度。
Int J Dermatol. 2016 Dec;55(12):1351-1356. doi: 10.1111/ijd.13361. Epub 2016 Jul 15.
2
Desmoplastic trichoepithelioma: A clinicopathological study of three cases and a review of the literature.促结缔组织增生性毛发上皮瘤:3例临床病理研究及文献复习
Oncol Lett. 2015 Oct;10(4):2468-2476. doi: 10.3892/ol.2015.3517. Epub 2015 Jul 21.
3
Solitary trichoepithelioma: clinical, dermatoscopic and histopathological findings.
孤立性毛发上皮瘤:临床、皮肤镜及组织病理学表现
Rom J Morphol Embryol. 2015;56(2 Suppl):827-32.
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Statistical evaluation of dermoscopic features in basal cell carcinomas.基底细胞癌皮肤镜特征的统计学评估
Dermatol Surg. 2014 Jul;40(7):718-24. doi: 10.1111/dsu.0000000000000031.
5
Solitary trichoepithelioma in an 8-year-old child: clinical, dermoscopic and histopathologic findings.8 岁儿童单发毛发上皮瘤:临床、皮肤镜及组织病理表现。
Dermatol Pract Concept. 2014 Apr 30;4(2):55-8. doi: 10.5826/dpc.0402a11. eCollection 2014 Apr.
6
Dermoscopy of desmoplastic trichoepithelioma reveals other criteria to distinguish it from basal cell carcinoma.皮肤镜检查有助于区分隆凸性毛囊角化病和基底细胞癌。
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7
A systematic review of worldwide incidence of nonmelanoma skin cancer.一项全球范围内非黑色素瘤皮肤癌发病率的系统回顾。
Br J Dermatol. 2012 May;166(5):1069-80. doi: 10.1111/j.1365-2133.2012.10830.x.
8
Desmoplastic trichoepithelioma.硬化性毛囊角化上皮瘤。
J Am Acad Dermatol. 2010 Jan;62(1):102-106. doi: 10.1016/j.jaad.2009.06.066.
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Dermatoscopy of basal cell carcinoma: morphologic variability of global and local features and accuracy of diagnosis.基底细胞癌的皮肤镜检查:整体和局部特征的形态变异性及诊断准确性。
J Am Acad Dermatol. 2010 Jan;62(1):67-75. doi: 10.1016/j.jaad.2009.05.035. Epub 2009 Oct 13.
10
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Dermatology. 2007;215(4):354-8. doi: 10.1159/000107631.