Michalak-Stoma Anna, Małkińska Katarzyna, Krasowska Dorota
Department of Dermatology, Venereology and Paediatric Dermatology, Medical University of Lublin, Lublin, 20-080, Poland.
Department of Dermatology, Venereology and Paediatric Dermatology, Samodzielny Publiczny Szpital Kliniczny No 1, Lublin, 20-080, Poland.
Clin Cosmet Investig Dermatol. 2021 Jun 29;14:733-746. doi: 10.2147/CCID.S305924. eCollection 2021.
Seborrheic keratosis (SK) is the most common benign tumour of epidermal origin. In most cases, it is simple to recognize in the clinical examination. However, sometimes SK can be a problematic lesion. We present the cases of two patients with seborrheic keratosis in whom we diagnosed the skin cancer through dermoscopic and histopathological examinations. The article aims to draw attention to the need for dermoscopic examinations to be included for an accurate assessment of the nevi not only by dermatologists but also not-specialized doctors. We would like to underline that many skin cancers share the similar features of malignancy, and competence and capability to interpret the dermoscopic pictures correctly are important for early recognition of malignant lesion. Very often malignant skin cancers can be hidden among benign lesions like seborrheic keratosis or they can be imitators of benign lesions. Amongst all cases of imposing SK, basal cell carcinoma, squamous cell carcinoma, melanoma is the most important differential diagnosis, of which their dermoscopic features will be discussed in this article.
脂溢性角化病(SK)是最常见的表皮源性良性肿瘤。在大多数情况下,在临床检查中很容易识别。然而,有时SK可能是一个有问题的病变。我们报告了两名脂溢性角化病患者的病例,我们通过皮肤镜检查和组织病理学检查诊断为皮肤癌。本文旨在提请注意不仅皮肤科医生,而且非专科医生都需要进行皮肤镜检查,以准确评估痣。我们想强调的是,许多皮肤癌具有相似的恶性特征,正确解读皮肤镜图像的能力对于早期识别恶性病变很重要。恶性皮肤癌常常隐藏在脂溢性角化病等良性病变之中,或者可能模仿良性病变。在所有疑似SK的病例中,基底细胞癌、鳞状细胞癌、黑色素瘤是最重要的鉴别诊断,本文将讨论它们的皮肤镜特征。