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基底鳞状细胞癌的临床和流行病学分析:多中心研究结果。

Clinical and epidemiological analysis of basosquamous carcinoma: results of the multicenter study.

机构信息

Department of Proliferative Diseases, Nicolaus Copernicus Multidisciplinary Centre for Oncology and Traumatology, ul. Pabianicka 62, 93-513, Łódź, Poland.

Department of Dermatology, Venereology and Allergology, Medical University of Gdańsk, Gdańsk, Poland.

出版信息

Sci Rep. 2020 Oct 28;10(1):18475. doi: 10.1038/s41598-020-72732-x.

Abstract

Basosquamous carcinoma (BSC) is a rare non-melanoma skin cancer that shares the characteristic features of both basal and squamous cell carcinomas (BCC, SCC). Our research enables better characterization of BSC in comparison to high-risk subtypes of BCC and SCC. Paper includes a retrospective analysis of BSC cases regarding sex, age, number of tumors and anatomical distribution in comparison to BCC and SCC evaluating the differences and defining the implications. Histologically confirmed carcinomas recorded between 1999 and 2019 were studied. 181 diagnosed BSC cases were identified, making this study the largest cohorts of BSC patients reported worldwide. Most cases were reported on head and neck. Analysis of facial anatomic distribution shows that most commonly affected sites were the nose (43%) and the cheek (25%). The age at excision of metatypical BCC was higher than those of low-risk BCC (P < 0.05), however similar to high-risk BCC (P = 0.20). We revisited that the concept of BSC is the most similar to high-risk subtypes of BCC. Patients with diagnosed BSC have higher risk of second nonmelanoma skin cancer. Therefore, the frequency of follow-up examination should be adjusted to the individual risk of another skin cancer.

摘要

基底鳞状细胞癌(BSC)是一种罕见的非黑色素瘤皮肤癌,具有基底细胞癌(BCC)和鳞状细胞癌(SCC)的共同特征。与高危型 BCC 和 SCC 相比,我们的研究能够更好地描述 BSC。本文对 1999 年至 2019 年间记录的 BSC 病例进行了回顾性分析,比较了性别、年龄、肿瘤数量和解剖分布,并评估了这些差异,明确了其意义。共确定了 181 例经组织学证实的 BSC 病例,这是全球报道的最大 BSC 患者队列。大多数病例发生在头颈部。对面部解剖分布的分析表明,最常受累的部位是鼻子(43%)和脸颊(25%)。与低危 BCC 相比,典型 BCC 切除时的年龄更高(P<0.05),但与高危 BCC 相似(P=0.20)。我们重新审视了 BSC 的概念,它与高危型 BCC 最为相似。诊断为 BSC 的患者发生第二种非黑色素瘤皮肤癌的风险更高。因此,应根据另一种皮肤癌的个体风险调整随访检查的频率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbab/7595159/d7152935eea5/41598_2020_72732_Fig1_HTML.jpg

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