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老年患者脂溢性角化病的鉴别诊断与处理

Differential Diagnosis and Management on Seborrheic Keratosis in Elderly Patients.

作者信息

Moscarella Elvira, Brancaccio Gabriella, Briatico Giulia, Ronchi Andrea, Piana Simonetta, Argenziano Giuseppe

机构信息

Dermatology Unit, University of Campania, Naples, Italy.

Pathology Unit, University of Campania, Naples, Italy.

出版信息

Clin Cosmet Investig Dermatol. 2021 Apr 28;14:395-406. doi: 10.2147/CCID.S267246. eCollection 2021.

Abstract

Seborrheic keratoses are exceedingly common in the elderly and usually are easy to diagnose and do not require treatment. However, given their great variety of clinical presentation, they may give rise to false-positive cases, meaning that they may at times mimic melanoma, squamous cell carcinoma and basal cell carcinoma. On the other hand, melanoma may mimic seborrheic keratosis, leading to incorrect patient management. With this review, we would like to summarize the current knowledge about epidemiology, clinical, dermoscopic and reflectance confocal microscopy imaging of this common entity, and we also summarize the currently available treatment options.

摘要

脂溢性角化病在老年人中极为常见,通常易于诊断且无需治疗。然而,鉴于其临床表现多种多样,可能会出现假阳性病例,也就是说它们有时可能会模仿黑色素瘤、鳞状细胞癌和基底细胞癌。另一方面,黑色素瘤可能会模仿脂溢性角化病,导致对患者的管理不当。通过本综述,我们旨在总结关于这一常见病症的流行病学、临床、皮肤镜和反射式共聚焦显微镜成像的现有知识,同时也总结目前可用的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8c8/8088980/92c3dfd7971d/CCID-14-395-g0001.jpg

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