Department of Ultrasound, China-Japan Union Hospital of Jilin University, Changchun, China.
Medicine (Baltimore). 2022 Dec 30;101(52):e32097. doi: 10.1097/MD.0000000000032097.
Keratoacanthoma (KA) is a fast-growing skin tumor with solitary KA being the most common type. KAs rarely metastasize and subside spontaneously. Although histopathology is the gold standard for the diagnosis of KA, its histopathological features are sometimes difficult to distinguish from those of other skin tumors. Imaging studies have certain advantages in the preoperative diagnosis of KA; they not only show the exact shape of the lesion but can also accurately determine the extent of the lesion. Combined with histopathological examination, these findings help establish a diagnosis. By summarizing the imaging features of KA, this article aimed to improve radiologists' understanding of the disease and help in the clinical and differential diagnosis of KA.
角化棘皮瘤(KA)是一种生长迅速的皮肤肿瘤,其中单发 KA 最为常见。KA 很少转移且会自发消退。虽然组织病理学是诊断 KA 的金标准,但它的组织病理学特征有时难以与其他皮肤肿瘤区分。影像学研究在 KA 的术前诊断中有一定的优势;它们不仅可以显示病变的确切形态,还可以准确确定病变的范围。结合组织病理学检查,这些发现有助于建立诊断。本文通过总结 KA 的影像学特征,旨在提高放射科医生对该病的认识,并有助于 KA 的临床和鉴别诊断。