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下唇鳞状细胞癌的皮肤镜特征：一项描述性研究。

Dermoscopic Features of Lower Lip Squamous Cell Carcinoma: A Descriptive Study.

作者信息

Elmas Ömer Faruk, Metin Mahmut Sami, Kilitçi Asuman

机构信息

Department of Dermatology and Venereology, Faculty of Medicine, Ahi Evran University, Kırşehir, Turkey.

Department of Dermatology, Batman Medical Park Hospital, Batman, Turkey.

出版信息

Indian Dermatol Online J. 2019 Aug 28;10(5):536-541. doi: 10.4103/idoj.IDOJ_435_18. eCollection 2019 Sep-Oct.

DOI:10.4103/idoj.IDOJ_435_18
PMID:31544072
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6743386/
Abstract

AIM

Dermoscopic features of cutaneous squamous cell carcinoma (SCC) have been well described; however, there are a few studies focused on the dermoscopic aspect of lip SCC. In this study, we aimed to identify dermoscopic findings of lower lip SCC.

MATERIALS AND METHODS

The clinical and histopathologic features, dermoscopic images, and demographic data of the patients with histologically approved lip SCC were retrospectively evaluated.

RESULTS

A total of 10 lesions were enrolled in the study. Milky red structureless background (100%) and keratin scale (100%) were present in all the lesions. Blood spots on thick keratin scale were observed in eight lesions. Seven lesions showed white structureless areas. Two lesions exhibited ulceration and one of the lesions had structureless brown pigmentation. The most common vascular pattern observed was polymorphous vascular pattern (60%).

CONCLUSION

White and milky red structureless areas, blood spots on thick keratin scale, and polymorphous vascular pattern are the main dermoscopic clues to lip SCC. The presence of these findings should direct the clinician to the possibility of SCC. The dermoscopic findings observed may also reflect histological grade of the lesion.

摘要

目的

皮肤鳞状细胞癌（SCC）的皮肤镜特征已得到充分描述；然而，针对唇部SCC皮肤镜方面的研究较少。在本研究中，我们旨在确定下唇SCC的皮肤镜表现。

材料与方法

对组织学确诊的唇部SCC患者的临床和组织病理学特征、皮肤镜图像及人口统计学数据进行回顾性评估。

结果

本研究共纳入10个病变。所有病变均存在乳红色无结构背景（100%）和角质鳞屑（100%）。在8个病变中观察到厚角质鳞屑上有血斑。7个病变显示白色无结构区域。2个病变出现溃疡，其中1个病变有无结构褐色色素沉着。观察到的最常见血管模式为多形性血管模式（60%）。

结论

白色和乳红色无结构区域、厚角质鳞屑上的血斑以及多形性血管模式是唇部SCC的主要皮肤镜线索。这些表现的存在应使临床医生考虑到SCC的可能性。观察到的皮肤镜表现也可能反映病变的组织学分级。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42cb/6743386/32aac14b2a1e/IDOJ-10-536-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42cb/6743386/bb04b1255905/IDOJ-10-536-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42cb/6743386/859aaf598724/IDOJ-10-536-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42cb/6743386/7d3db688de6a/IDOJ-10-536-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42cb/6743386/b36194cd008d/IDOJ-10-536-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42cb/6743386/d3cd32ecc38d/IDOJ-10-536-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42cb/6743386/7a89fa23d760/IDOJ-10-536-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42cb/6743386/22b61de4c64f/IDOJ-10-536-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42cb/6743386/65fe1aa1c3b2/IDOJ-10-536-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42cb/6743386/8379cca845d8/IDOJ-10-536-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42cb/6743386/32aac14b2a1e/IDOJ-10-536-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42cb/6743386/bb04b1255905/IDOJ-10-536-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42cb/6743386/859aaf598724/IDOJ-10-536-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42cb/6743386/7d3db688de6a/IDOJ-10-536-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42cb/6743386/b36194cd008d/IDOJ-10-536-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42cb/6743386/d3cd32ecc38d/IDOJ-10-536-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42cb/6743386/7a89fa23d760/IDOJ-10-536-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42cb/6743386/22b61de4c64f/IDOJ-10-536-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42cb/6743386/65fe1aa1c3b2/IDOJ-10-536-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42cb/6743386/8379cca845d8/IDOJ-10-536-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42cb/6743386/32aac14b2a1e/IDOJ-10-536-g010.jpg

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