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皮肤鳞状细胞癌成像诊断方法概述。

An overview of cutaneous squamous cell carcinoma imaging diagnosis methods.

作者信息

Danescu Sorina, Negrutiu Mircea, Focsan Monica, Baican Adrian

机构信息

Department of Dermatology, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Nanobiophotonics and Laser Microspectroscopy Center, Interdisciplinary Research Institute on Bio-Nano-Sciences, Babes-Bolyai University, Cluj-Napoca, Romania.

出版信息

Front Med (Lausanne). 2024 Apr 25;11:1388835. doi: 10.3389/fmed.2024.1388835. eCollection 2024.

DOI:10.3389/fmed.2024.1388835
PMID:38737758
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11084285/
Abstract

Cutaneous squamous cell carcinoma, a type of non-melanoma skin cancer, is a form of keratinocyte carcinoma that stands as one of the most prevalent cancers, exhibiting a rising frequency. This review provides an overview of the latest literature on imaging methods for diagnosing squamous cell carcinoma (SCC) and actinic keratosis (AK). It discusses the diagnostic criteria, advantages, and disadvantages of various techniques such as dermatoscopy, skin ultrasound (US), and reflectance confocal microscopy (RCM), and line-field confocal optical coherence tomography (LC-OCT). These methods offer benefits including non-invasiveness, rapidity, comprehensive lesion imaging, and enhanced sensitivity, but face challenges like high costs and the need for specialized expertise. Despite obstacles, the use of these innovative techniques is expected to increase with ongoing technological advancements, improving diagnosis and treatment planning for keratinocyte carcinomas. Standardizing LC-OCT imaging algorithms for AK, Bowen's disease, and SCC remains an area for further research.

摘要

皮肤鳞状细胞癌是一种非黑色素瘤皮肤癌,是角质形成细胞癌的一种形式,是最常见的癌症之一,且发病率呈上升趋势。本综述概述了有关诊断鳞状细胞癌(SCC)和光化性角化病(AK)的成像方法的最新文献。它讨论了各种技术的诊断标准、优缺点,如皮肤镜检查、皮肤超声(US)、反射式共聚焦显微镜(RCM)和线场共聚焦光学相干断层扫描(LC-OCT)。这些方法具有非侵入性、快速、全面的病变成像和更高的灵敏度等优点,但也面临高成本和需要专业知识等挑战。尽管存在障碍,但随着技术的不断进步,预计这些创新技术的使用将会增加,从而改善角质形成细胞癌的诊断和治疗计划。为AK、鲍恩病和SCC标准化LC-OCT成像算法仍是一个有待进一步研究的领域。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb91/11084285/1b43becadb0b/fmed-11-1388835-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb91/11084285/1b43becadb0b/fmed-11-1388835-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb91/11084285/1b43becadb0b/fmed-11-1388835-g001.jpg

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本文引用的文献

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Line-Field Confocal Optical Coherence Tomography for the Diagnosis of Skin Carcinomas: Real-Life Data over Three Years.线阵共焦光学相干断层扫描在皮肤癌诊断中的应用:三年真实数据。
Curr Oncol. 2023 Sep 28;30(10):8853-8864. doi: 10.3390/curroncol30100639.
2
Diagnostic Accuracy of Line-Field Confocal Optical Coherence Tomography for the Diagnosis of Skin Carcinomas.线场共聚焦光学相干断层扫描技术对皮肤癌诊断的诊断准确性
Diagnostics (Basel). 2023 Jan 18;13(3):361. doi: 10.3390/diagnostics13030361.
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Comparison of reflectance confocal microscopy and line-field optical coherence tomography for the identification of keratinocyte skin tumours.
用于诊断鳞状细胞癌的非侵入性技术:系统评价与荟萃分析
JID Innov. 2024 Jul 20;4(6):100303. doi: 10.1016/j.xjidi.2024.100303. eCollection 2024 Nov.
比较反射共聚焦显微镜和线扫描光学相干断层成像术在识别角化细胞皮肤肿瘤中的应用。
Skin Res Technol. 2023 Jan;29(1):e13215. doi: 10.1111/srt.13215. Epub 2022 Nov 24.
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New Emerging Treatment Options for Advanced Basal Cell Carcinoma and Squamous Cell Carcinoma.新兴治疗选择用于晚期基底细胞癌和鳞状细胞癌。
Adv Ther. 2022 Mar;39(3):1164-1178. doi: 10.1007/s12325-022-02044-1. Epub 2022 Jan 28.
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High-frequency ultrasound for differentiation between high-risk basal cell carcinoma and cutaneous squamous cell carcinoma.高频超声在高风险基底细胞癌与皮肤鳞状细胞癌鉴别诊断中的应用。
Skin Res Technol. 2022 May;28(3):410-418. doi: 10.1111/srt.13121. Epub 2021 Dec 19.
6
Line-field confocal optical coherence tomography for the in vivo real-time diagnosis of different stages of keratinocyte skin cancer: a preliminary study.线阵共聚焦光学相干断层扫描用于角质形成细胞皮肤癌不同阶段的实时体内诊断:初步研究。
J Eur Acad Dermatol Venereol. 2021 Dec;35(12):2388-2397. doi: 10.1111/jdv.17603. Epub 2021 Sep 24.
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Cancers (Basel). 2021 Jun 8;13(12):2856. doi: 10.3390/cancers13122856.
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J Cutan Pathol. 2021 Jan;48(1):184-191. doi: 10.1111/cup.13861. Epub 2020 Oct 16.
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J Clin Med. 2020 Jun 25;9(6):1987. doi: 10.3390/jcm9061987.