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皮肤肿瘤的组织形态学特征

Histomorphologic Profile of Skin Tumors.

作者信息

Thapa Rupendra, Gurung Pranita, Hirachand Suspana, Shrestha Sanju Babu

机构信息

Department of Pathology, Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal.

Department of Dermatology, Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2018 Nov-Dec;56(214):953-957. doi: 10.31729/jnma.3988.

Abstract

INTRODUCTION

Skin tumors are not uncommon in the Nepalese community. Accurate diagnosis and categorization of these into different types is important because of its effect on prognosis and management. We conducted this study to find out the frequency of different histological types of skin tumors, correlate with their clinicopathologic profile and to determine the stage of malignant tumors.

METHODS

This is a descriptive cross-sectional study of skin tumors during the period February 2015 to January 2017. All the patients who were subjected to skin biopsy for skin tumors were included in this study. The biopsies taken were fixed in 10% formalin and then processed. Four microns thick sections were taken and stained with Haematoxylin and Eosin stain (H&E).

RESULTS

Total of 108 cases of skin tumors were included of which 68 (62.97%) cases were histologically diagnosed as benign and 40 (37.03%) cases were diagnosed as malignant tumors. Keratinocytic tumors were predominant among both benign and malignant skin tumors.

CONCLUSIONS

Histopathological examination is the gold standard for accurate diagnosis and prognostic assessment of the patient. Staging of the malignant tumors in excision biopsy specimen needs to be emphasized since it is a predictor of prognosis.

摘要

引言

皮肤肿瘤在尼泊尔人群中并不罕见。由于其对预后和治疗的影响,准确诊断并将这些肿瘤分类为不同类型很重要。我们开展这项研究以查明不同组织学类型皮肤肿瘤的发生率,将其与临床病理特征相关联,并确定恶性肿瘤的分期。

方法

这是一项对2015年2月至2017年1月期间皮肤肿瘤的描述性横断面研究。所有因皮肤肿瘤接受皮肤活检的患者均纳入本研究。所取活检标本用10%福尔马林固定,然后进行处理。制作4微米厚的切片,并用苏木精和伊红染色(H&E)。

结果

共纳入108例皮肤肿瘤病例,其中68例(62.97%)经组织学诊断为良性,40例(37.03%)诊断为恶性肿瘤。角质形成细胞肿瘤在良性和恶性皮肤肿瘤中均占主导。

结论

组织病理学检查是对患者进行准确诊断和预后评估的金标准。由于切除活检标本中恶性肿瘤的分期是预后的预测指标,因此需要强调对其进行分期。

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