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病例报告:疣状表皮发育不良伴多发鳞状细胞癌和基底细胞癌。

Case Report: Epidermodysplasia verruciformis with multiple squamous and basal cell carcinomas.

作者信息

Zhang Zijing, Liu Chuanbo, Li Jinsheng

机构信息

The Fourth Clinical Medical College, Zhejiang Chinese Medicine University, Hangzhou, China.

Department of Plastic and Cosmetic Surgery, Affiliated Hangzhou First People's Hospital, Hangzhou, Zhejiang, China.

出版信息

Front Med (Lausanne). 2025 Jun 4;12:1565977. doi: 10.3389/fmed.2025.1565977. eCollection 2025.

Abstract

Epidermodysplasia verruciformis (EV) is a rare genodermatosis characterized by chronic infection with human papillomavirus (HPV), leading to disseminated flat-topped papules and pityriasis versicolor-like lesions. Patients with EV are predisposed to developing non-melanoma skin cancers, particularly squamous cell carcinoma (SCC) in sun-exposed areas. Currently, there is no definitive cure for EV, and management remains largely supportive and symptomatic. We report a case of EV in a 38-year-old male, presenting with classical clinical features and histopathological findings, complicated by the simultaneous development of squamous cell carcinoma(SCC) and basal cell carcinoma (BCC). This case highlights the oncogenic potential of EV-associated HPV subtypes and the importance of regular dermatologic surveillance in affected individuals.

摘要

疣状表皮发育不良(EV)是一种罕见的遗传性皮肤病,其特征是人类乳头瘤病毒(HPV)慢性感染,导致播散性平顶丘疹和花斑癣样损害。EV患者易患非黑素瘤皮肤癌,尤其是暴露于阳光下部位的鳞状细胞癌(SCC)。目前,EV尚无确切的治愈方法,治疗主要是支持性和对症性的。我们报告一例38岁男性的EV病例,具有典型的临床特征和组织病理学表现,同时并发鳞状细胞癌(SCC)和基底细胞癌(BCC)。该病例突出了EV相关HPV亚型的致癌潜力以及对受累个体进行定期皮肤科监测的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/398f/12173910/1e38b130779c/fmed-12-1565977-g0001.jpg

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