皮肤基底细胞癌的临床病理分析

目的：通过分析基底细胞癌（BCC）临床病理特点,提高BCC的诊断水平。方法：回顾性研究西南医院皮肤科1990～2006年共203例BCC的临床病理资料。结果：BCC最好发的部位是鼻部和眼周,发病年龄高峰40～49岁,实体型BCC最常见,28.57%的病例临床上被误诊为色素痣、脂溢性角化、恶性黑素瘤等。分析显示日光照射和组织损伤是BCC的重要诱因,而且BCC可发生在色素痣的基础上。结论：由于BCC与一些临床碍容性皮肤肿瘤临床表现相似,容易出现误诊和漏诊,故建议及时作病理检查将有助于早期诊断和治疗。

Clinical and pathological analysis of basal cell carcinoma in skin

Objective To elevate the early diagnosis level of basal cell carcinoma(BCC)through analyzed clinical histopathological characteristics of basal cell carcinoma. Methods We studied retrospectively the clinical and pathological data of 95 patients with BCC who attended the department of dermatology in Southwestern hospital from 1990 to 2006. Results It was found that the most frequent sites of BCC were the nose and periocular area,the age of highest incidence of BCC was ranged from 40 to 49, and solid BCCs were most common compared with other types. 28.57% of the cases were misdiagnosed clinically as pigmented nevus, seborrheic keratosis, malignant melanoma, et al. This study also show that sun exposure and trauma were important risk factors for its developing, it could originated from melanocytic nevus. Conclusion As clinical characteristics resembled some skin tumors, BCC easily lead to misdiagnosis and miss diagnosis. Some help for its early diagnosis and treatment could get through pathological analysis basal cell carcinoma.