Page 297 - 北京京煤集团总医院第十届·2022学术年会论文集
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北京京煤集团总医院 第十届·2022 学术年会论文集
皮肤镜诊断脂溢性角化病的准确性及结果分析
郭东东(北京京煤集团总医院皮肤科,北京 102300)
【摘要】目的: 探讨皮肤镜诊断脂溢性角化病的准确性,并与临床诊断、病理诊断结果相
比较,分析皮肤镜诊断脂溢性角化病的价值。方法:选取 2019 年 9 月~2020 年 9 月就诊于
北京京煤集团总医院,经组织病理检查和皮肤镜检查,诊断为脂溢性角化病的患者 61 例,
收集其临床和皮肤镜图像资料,进行回顾性分析,并与组织病理结果相比较,明确皮肤镜诊断
脂溢性角化病的价值,并分析脂溢性角化病的皮肤镜特征。结果:临床诊断正确率为 73.5%,
皮肤镜诊断正确率为 95.5%;皮肤镜特征主要表现为裂隙/脑回样外观(50.00%),粉刺样开
口(40.63%),点状/发夹样血管结构(20.31%),粟粒样囊肿(15.63%); 结论:皮肤镜可以
提高脂溢性角化病的诊断水平,为鉴别诊断提供重要依据。
【关键词】脂溢性角化病;皮肤镜;诊断水平;
Abstract: Objective:To study the accuracy of dermatoscopy in the diagnosis of seborrheic
keratosis, and analyze the correlation between dermoscopic and pathological of Seborrheic
Keratosis; Methods Sixty-one patients with Seborrheic Keratosis diagnosed by histomathological
examination and dermoscopy, who were admitted to the Hospital of JINGMEI COPERATION from
September 2019 to September 2020, were selected to analyzed the value of dermoscopy in the
diagnosis of seborrheic keratosis, the characteristics of dermoscopy in seborrheic keratosis were
analyzed. Results: The correct rate of clinical diagnosis was 73.5%, and the correct rate of
dermatoscopy was 95.5%. The high frequency dermoscopy features of patients with seborrheic
keratosis were gully like structure(50.0%) acne-like opening(40.63%), and punctiform/hairpin
blood vessels ( 20.31% ) , milia-like cysts was next(15.63%).Conclusion: Dermoscopy can
significantly increase the diagnostic rate of seborrheic keratosis and provide an important basis for
differential diagnosis.
Key words : Seborrheic Keratosis; Dermoscopy; Diagnosis
脂溢性角化病(seborrheic keratosis, SK)亦称为老年疣(verruca senilis)、基底细胞乳头瘤
(basal cellpapilloma),是常见的上皮增生性皮肤良性肿瘤,极少癌变 。临床诊治过程中,
[1]
常依据其特征性表现进行临床诊断,但部分不典型和特殊类型的 SK 可以模仿恶性肿瘤造成
误诊,导致不必要的切除;一些恶性肿瘤(色素性基底细胞癌、黑色素瘤等)早期皮损或者
[2]
不典型皮损也可以模仿脂溢性角化病造成漏诊,导致忽视,造成不良后果 。皮肤镜被称为
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