引用本文:成先桂,谢方明,陈 岳,杨建均.脂溢性角化病220例临床和病理分析[J].中国临床新医学,2013,6(6):538-540.
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脂溢性角化病220例临床和病理分析
成先桂,谢方明,陈 岳,杨建均
530021 南宁,中国人民解放军第三0三医院皮肤科
摘要:
[摘要] 目的 探讨脂溢性角化病的临床、组织病理特征和诊断情况。方法 对220例组织病理学诊断为脂溢性角化病患者的临床资料进行回顾性分析。结果 发病者以老年患者居多;男性多于女性;暴露部位比非暴露部位更易发病;病理分型中以棘层肥厚型及角化过度型最为常见;临床诊断易与色素痣、扁平疣、寻常疣、日光性角化病、基底细胞癌、黑素瘤等相混淆,此时诊断主要依靠组织病理学检查。结论 脂溢性角化病与性别、年龄、日光照射有关,组织病理学检查在其诊断及鉴别诊断中具有重要意义。
关键词:  脂溢性角化病  临床特征  组织病理学
DOI:10.3969/j.issn.1674-3806.2013.06.10
分类号:R 739.5
基金项目:
Clinical and pathological analysis on 220 cases of seborrheic keratosis
CHENG Xian-gui, XIE Fang-ming, CHEN-Yue, et al.
Department of Dermatology, 303 Hospital of People’s Liberation Army, Nanning 530021, China
Abstract:
[Abstract] Objective To explore the clinical and histopathological characteristcs and the diagnosis ststus of seborrheic keratosis(SK).Methods The clinical datas of 220 patients with SK were analyzed retrospectively.Results The elderly patients accounted for the majority and males were more than females in patients with SK. SK more occurred in exposed parts than non-exposed parts. The most common pathological type was acanthosis and hyperkeratosis. Clinically, SK was easily confused with nevi, flat warts, common warts, actinic keratoses, basal cell carcinoma, melanoma and so on. The diagnosis depends on the histopathological examination.Conclusion SK is related to gender, age, and sunlight, histopathological examination is important in the diagnosis and differential diagnosis of SK.
Key words:  Seborrheic keratosis  Clinical features  Histopathology