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皮肤镜下的鲍温病

Bowen's Disease in Dermoscopy.

作者信息

Wozniak-Rito Anna Maria, Rudnicka Lidia

机构信息

Professor Lidia Rudnicka, MD, PhD, Department of Dermatology, Medical University of Warsaw, Koszykowa 82a Str., 02-008 Warsaw, Poland;

出版信息

Acta Dermatovenerol Croat. 2018 Jun;26(2):157-161.

Abstract

Bowen's disease, named after John Templeton Bowen, also known as squamous cell carcinoma in situ is a type of non-melanocytic intraepidermal malignancy. It is estimated that in general population around 3% to 5% of Bowen's disease transform into invasive squamous cell cancer. Dermoscopy aims in the identification of the Bowen's disease. The most typical dermoscopic features of Bowen's disease include glomerular vessels and scaly surface. Although dermoscopy of Bowen's disease has been well established other skin lesions may present similar or identical structures in dermoscpic images leading to differential diagnosis dilemmas. Histopathological confirmation should be obtained prior the treatment of suspected cases of Bowen's disease in order to avoid a misdiagnosis.

摘要

鲍恩病以约翰·邓普顿·鲍恩命名,也称为原位鳞状细胞癌,是一种非黑素细胞性表皮内恶性肿瘤。据估计,在普通人群中,约3%至5%的鲍恩病会转变为浸润性鳞状细胞癌。皮肤镜检查旨在识别鲍恩病。鲍恩病最典型的皮肤镜特征包括肾小球样血管和鳞屑表面。尽管鲍恩病的皮肤镜检查已得到充分确立,但其他皮肤病变在皮肤镜图像中可能呈现相似或相同的结构,从而导致鉴别诊断难题。在对疑似鲍恩病病例进行治疗之前,应获得组织病理学确诊,以避免误诊。

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