在一家三级护理诊所就诊的菲律宾患者中基底细胞癌的临床人口统计学和皮肤镜特征
Clinicodemographic and Dermoscopic Features of Basal Cell Carcinoma among Filipino Patients Seen in a Tertiary Care Clinic.
作者信息
Villena Juan Paolo David S, Atienza Mary Antonette D, Tan Nicole Marella G, Cua Val Constantine S, Ke Blythe N, Siripunvarapon Arunee H
机构信息
Department of Dermatology, Philippine General Hospital, University of the Philippines Manila.
出版信息
Acta Med Philipp. 2024 Sep 30;58(17):42-49. doi: 10.47895/amp.v58i17.7486. eCollection 2024.
BACKGROUND
Dermoscopy enhances detection of basal cell carcinoma (BCC), especially for the pigmented subtype common among Asians. However, there is limited data on dermoscopic features of BCC in Filipinos.
OBJECTIVES
The objective of this study is to describe the clinicopathologic profile and dermoscopic features of BCC in Filipinos seen in a tertiary care clinic.
METHODS
A cross-sectional study was conducted in the Philippines from November 2019 to December 2021 in a tertiary care clinic. Fifty-three (53) lesions suspicious for BCC were analyzed using dermoscopy prior to histologic confirmation. Fifty (50) biopsy-proven BCC lesions were included in the analysis.
RESULTS
Lesions were more commonly seen in females (72.50%), and located on the head and neck (88%). The most common histopathologic subtype was nodular (74%). The most common dermoscopic features were large blue-gray ovoid nests (86%) and ulcerations (70%).
CONCLUSION
The most common BCC type among the study participants was nodular, with large blue-gray ovoid nests and ulceration seen on dermoscopy.
背景
皮肤镜可提高基底细胞癌（BCC）的检出率，尤其是在亚洲人中常见的色素沉着亚型。然而，关于菲律宾人基底细胞癌的皮肤镜特征的数据有限。
目的
本研究的目的是描述在一家三级护理诊所中就诊的菲律宾人基底细胞癌的临床病理特征和皮肤镜特征。
方法
2019年11月至2021年12月在菲律宾的一家三级护理诊所进行了一项横断面研究。在组织学确诊之前，对53个疑似基底细胞癌的病变进行了皮肤镜分析。分析纳入了50个经活检证实的基底细胞癌病变。
结果
病变在女性中更为常见（72.50%），且位于头颈部（88%）。最常见的组织病理学亚型是结节型（74%）。最常见的皮肤镜特征是大的蓝灰色卵圆形巢状结构（86%）和溃疡（70%）。
结论
研究参与者中最常见的基底细胞癌类型是结节型，皮肤镜检查可见大的蓝灰色卵圆形巢状结构和溃疡。
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