Department of Ultrasound, Zhongshan Hospital of Traditional Chinese Medicine, Zhongshan, Guangdong, China.
Department of Pathology, Zhongshan Hospital of Traditional Chinese Medicine, Zhongshan, Guangdong, China.
J Ultrasound Med. 2023 Jul;42(7):1549-1556. doi: 10.1002/jum.16174. Epub 2023 Jan 13.
To compare the sonographic characteristics of superficial basal cell carcinoma (sBCC) and non-superficial basal cell carcinomas (nsBCC).
The ultrasound characteristics of 73 basal cell carcinoma (BCC) confirmed by surgical pathology were retrospectively analyzed, and the cases were divided into 11 cases of sBCC and 62 cases of nsBCC according to pathological subtypes. Ultrasound characteristics between groups were compared.
Among all the ultrasound characteristics, lesion thickness (P = .000), shape (χ = 39.293, P = .000), basal changes (χ = 8.473, P = .037), infiltration level (χ = 46.140, P = .000), and distribution of intralesional hyperechogenic spots (χ = 15.699, P = .000) of the lesions had statistically significant correlation with pathological diagnosis of sBCC. While no significant differences were shown in surface morphology, keratinization, maximum diameter, intralesional echogenicity, posterior echogenic changes, and intralesional color Doppler flow of the lesions.
Small lesion thickness, oblate shape, superficial dermal local infiltration, and <3 internal hyperechogenic spots distribution of BCC determined by high frequency ultrasound may positively correlate with pathological diagnosis of sBCC. This is beneficial for treatment planning.
比较表浅基底细胞癌（sBCC）和非表浅基底细胞癌（nsBCC）的超声特征。
回顾性分析 73 例经手术病理证实为基底细胞癌（BCC）的超声特征，根据病理亚型分为 sBCC 11 例和 nsBCC 62 例。比较两组间超声特征。
在所有超声特征中，病变厚度（P=0.000）、形状（χ ²=39.293，P=0.000）、基底改变（χ ²=8.473，P=0.037）、浸润程度（χ ²=46.140，P=0.000）和病灶内高回声点分布（χ ²=15.699，P=0.000）与 sBCC 的病理诊断具有统计学相关性。而病变的表面形态、角化、最大直径、病灶内回声、后方回声变化和病灶内彩色多普勒血流无显著差异。
高频超声显示的 BCC 小病变厚度、扁圆形、浅真皮局部浸润和<3 个内部高回声点分布可能与病理诊断的 sBCC 呈正相关，这有利于治疗计划。
