Reyaz Saika, Rather Shagufta, Bilal Sheikh, Trumboo Taiba, Hussain Mateen
From the Department of Dermatology, Government Medical College, Srinagar and Jammu, India.
Department of Pathology, Government Medical College, Srinagar, University of Kashmir, Jammu and Kashmir, India.
Indian J Dermatol. 2025 Jan-Feb;70(1):50. doi: 10.4103/ijd.ijd_461_24. Epub 2024 Dec 30.
Benign skin, soft tissue and appendageal tumours of skin are one of the most frequently encountered skin disorders. An organised systematic approach along with dermoscopic and histopathological examination can aid in the diagnosis of these diverse disorders.
To evaluate clinico-dermoscopic and histopathological findings of benign skin, soft tissue and appendageal tumours of skin in patients attending a tertiary care hospital.
Cross-sectional hospital-based study where patients of all age groups irrespective of gender suspected of having benign skin, soft tissue and appendageal tumours were enrolled. Clinical, dermoscopic and histopathological findings were recorded and the agreements between them were evaluated using the Cohen's Kappa coefficient.
The study included a total of 415 patients with a mean age of 37.9 ± 15.59 years and a male to female ratio of 1:1.3. The mean duration of the disease was 4.3 ± 2.14 years. Soft tissue tumours were the commonest (60%), followed by benign skin tumours (24.3%) and benign appendageal tumours (17.1%). A good agreement between dermoscopic and clinical diagnosis was found (Cohen's Kappa = 0.879) and between dermoscopic and histopathological diagnosis was also found (Cohen's Kappa = 0.789).
This study infers that benign tumours of the skin include a heterogeneous group of skin disorders affecting a heterogeneous population. Dermoscopy improved the diagnostic accuracy of this large group of skin disorders and reduced the number of unnecessary excisions; however, histopathology remains the benchmark diagnostic tool to differentiate these tumours from other benign tumours and their malignant counterparts.
皮肤良性肿瘤、软组织肿瘤及皮肤附属器肿瘤是最常见的皮肤疾病之一。采用系统有序的方法并结合皮肤镜检查和组织病理学检查有助于诊断这些多样的疾病。
评估在一家三级医院就诊的患者中皮肤良性肿瘤、软组织肿瘤及皮肤附属器肿瘤的临床皮肤镜及组织病理学表现。
基于医院的横断面研究，纳入所有年龄组、性别不限且疑似患有皮肤良性肿瘤、软组织肿瘤及皮肤附属器肿瘤的患者。记录临床、皮肤镜及组织病理学表现，并使用科恩kappa系数评估它们之间的一致性。
该研究共纳入415例患者，平均年龄为37.9±15.59岁，男女比例为1:1.3。疾病平均病程为4.3±2.14年。软组织肿瘤最为常见（60%），其次是皮肤良性肿瘤（24.3%）和皮肤附属器良性肿瘤（17.1%）。皮肤镜与临床诊断之间具有良好的一致性（科恩kappa系数=0.879），皮肤镜与组织病理学诊断之间也具有良好的一致性（科恩kappa系数=0.789）。
本研究推断皮肤良性肿瘤包括一组异质性的皮肤疾病，影响着异质性人群。皮肤镜提高了这一大组皮肤疾病的诊断准确性，减少了不必要的切除手术数量；然而，组织病理学仍然是区分这些肿瘤与其他良性肿瘤及其恶性对应物的基准诊断工具。
