Goldberg L H, Leis P, Pham H N
Department of Dermatology, Baylor College of Medicine, Houston, Texas, USA.
Dermatol Surg. 1996 Apr;22(4):349-53. doi: 10.1111/j.1524-4725.1996.tb00329.x.
In our Mohs surgery practice, a large number of basal cell carcinomas (BCCs) occurring on the neck were noted to be of the superficial type.
Our purpose was to examine a series of consecutive cases of BCC on the neck.
We reviewed all cases of BCC on the neck that were treated in our Mohs surgery unit from 1988 to 1993. Permanent histologic sections of the BCCs, obtained by excisional debulking of the tumors, were examined and the BCCs were typed histologically. Each histologic type was correlated with the patient's age, race, sex, its location on the neck, and its status as either a primary or recurrent lesion.
In total, 97 BCCs on the neck from 93 patients were examined. All patients were Caucasians with an average age of 62.7 years. A peak incidence in the fifth decade occurred in males while this peak occurred in the eighth decade for females. Males outnumbered females 3.4:1. The type and incidence of each BCC was studied with the following results: superficial (38.1%), mixed-superficial (30.0%), nodular (15.5%), infiltrative (7.2%), morpheaform (5.1%), adenoid (2.1%), keratotic (1.0%), and metatypical (1.0%). Fifty-one percent of the tumors were primary and 49% were recurrent. The most common location on the neck was the skin overlying the superior aspect of the sternocleidomastoid muscles.
BCCs occurring on the neck were most commonly of the superficial type.
在我们的莫氏手术实践中，发现大量发生于颈部的基底细胞癌（BCC）为浅表型。
我们的目的是检查一系列连续的颈部BCC病例。
我们回顾了1988年至1993年在我们的莫氏手术科室接受治疗的所有颈部BCC病例。通过肿瘤切除减容获得的BCC永久组织学切片进行了检查，并对BCC进行了组织学分型。每种组织学类型与患者的年龄、种族、性别、在颈部的位置以及其作为原发性或复发性病变的状态相关联。
总共检查了来自93名患者的97例颈部BCC。所有患者均为白种人，平均年龄62.7岁。男性在第五个十年发病率最高，而女性在第八个十年发病率最高。男性与女性的比例为3.4:1。对每个BCC的类型和发病率进行了研究，结果如下：浅表型（38.1%）、浅表混合型（30.0%）、结节型（15.5%）、浸润型（7.2%）、硬斑病样型（5.1%）、腺样型（2.1%）、角化型（1.0%）和间变型（1.0%）。51%的肿瘤为原发性，49%为复发性。颈部最常见的位置是胸锁乳突肌上方的皮肤。
发生于颈部的BCC最常见的是浅表型。
