皮肤镜在色素型基底细胞癌中的临床诊断价值及有效性探讨

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (531 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To analyze the clinical diagnosis value and effectiveness of dermoscopy in pigmented basal cell carcinoma (PBCC).Methods A total of 93 patients with suspected pigmented basal cell carcinoma admitted to our hospital from March 2017 to March 2020 were selected. All patients were diagnosed by high-frequency ultrasound and dermoscopy. The accuracy, sensitivity, specificity misdiagnosis rate, missed diagnosis rate and consistency of the two diagnostic methods were compared with the pathological diagnosis results.Results The accuracy, sensitivity, specificity, misdiagnosis rate, missed diagnosis rate, Youden index, and Kappa value of high-frequency ultrasound and dermoscopy in the diagnosis of PBCC are 83.87%, 84.61%, 82.14%, 17.86%, 15.38%, 0.668, 0.498和95.70%, 96.92%, 89.29%, 10.71%, 3.08%, 0.862, 0.654.Conclusions In the diagnosis of PBCC, dermoscopy has higher diagnostic accuracy, specificity and sensitivity than high-frequency ultrasound, and the diagnosis results are consistent with pathological diagnosis.

Key words： pigmented basal cell carcinoma dermoscopy high-frequency ultrasound diagnostic value

Received: 06 November 2020

ZTFLH:

R739.5

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	SHU Xin
	RAN Min
	CHEN Xiaoxia

Cite this article:

SHU Xin,RAN Min,CHEN Xiaoxia. The clinical diagnostic value and effectiveness of dermoscopy in pigmented basal cell carcinoma[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2021, 32(5): 393-395.

URL:

http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2021/V32/I5/393

[1]	崔莉,张欣,刘智,等.皮肤镜对头面部微小色素型基底细胞癌的早期诊断价值[J].现代肿瘤医学,2019,27(8):1383-1386.
[2]	Hyung R T, Heesang K, Eun C J, et al. Features Causing Confusion between Basal Cell Carcinoma and Squamous Cell Carcinoma in Clinical Diagnosis[J]. Ann Dermatol, 2018, 30(1):64-70.
[3]	Rosendahl C, Tschandl P,Cameron A,et al. Diagnostic accuracy of dermatoscopy for melanocytic and nonmelanocytic pigmented lesions[J].J Am Acad Dermatol,2011,64(6):1068-1073.
[4]	赵辩.中国临床皮肤病学[M].第二版.江苏:凤凰科学技术出版社,2017:1524-1526.
[5]	Anwar U,Al Ghazal S K,Ahmad M,et al.Horrifying basal cell carcinoma forearm lesion leading to shoulder disarticulation[J].Plast Reconstr Surg,2006,117(1):6e-9e.
[6]	王霞.COX-2与VEGF 在皮肤鳞状细胞癌(SCC)及基底细胞癌(BCC)中的表达分析[J]. 当代医学,2018,24(16):127-129.
[7]	Webb D V, Mentrikosld M J, Verduin L, et al. Basal cell carcinoma vs basaloid squamous cell carcinoma of the skin:an immunohistochemical reappraisal[J]. Ann Diagn Pathol,2015,19(2):70-75.
[8]	唐文浩,陈舜英,赵宇靖,等.107例基底细胞癌的高频超声特点[J].中国麻风皮肤病杂志,2017,33(9):536-540.
[9]	周璟.高频超声的常见皮肤肿瘤表现及在基底细胞癌术前评估的应用研究[D]. 天津:天津医科大学,2016.
[10]	李琨,边培雯,张雪洁,等.皮肤镜诊断头面部色素型基底细胞癌的临床研究[J].中华临床医师杂志(电子版),2014,8(3):434-438.
[11]	Enache A O,Pătraşcu V,Simionescu C E.Dermoscopy Patterns and Histopathological Findings in Nodular Basal Cell Carcinoma-Study on 68 Cases[J].Curr Health Sci J,2019,45(1):116-122.
[12]	Nicoletta B,Nevena S,Sara Z. Face and Scalp Basal Cell Carcinoma Treatment: A Review of the Literature[J]. Acta Dermatovenerol Croat,2019,27(1):22-27.
[13]	殷董,孙晓燕,崔莉,等.皮肤镜诊断微小色素型基底细胞癌的临床研究[J].现代肿瘤医学,2018,26(16):2625-2628.
[14]	Takahashi A,Hara H,Aikawa M,et al.Dermoscopic features of small size pigmented basal cell carcinomas[J].J Dermatol,2016,43(5):543-546.
[15]	Barcaui Ede O,Carvalho A C,Valiante P M. High-frequency ultrasound associated with dermoscopy in pre-operative evaluation of basal cell carcinoma[J]. An Bras Dermatol,2014,89(5):828-831.
[16]	孟如松, 胡博, 刘海军, 等. 临床易误诊基底细胞癌的皮肤镜和组织病理观察及其鉴别诊断[J].中国体视学与图像分析,2015(4):347-355.
[17]	Nagi R, Sahu S, Agarwal N. Unusual presentation of pigmented basal cell carcinoma of face: surgical challenge[J]. J Clin Diagn Res, 2016,10(7):ZJ06-7.
[18]	李彦波,徐峰,刘波.710例基底细胞癌皮肤镜下特征分析[J].中国麻风皮肤病杂志,2016,32(12):705-708.