皮肤基底细胞癌和皮肤鳞状细胞癌270例回顾性分析

目的:总结我院皮肤基底细胞癌(BCC)和皮肤鳞状细胞癌(SCC)临床与组织病理资料,以期提高BCC与SCC的诊断率。方法:回顾性分析2014年1月1日-2018年12月31日间我院皮肤科门诊经组织病理切片确诊的170例BCC与100例SCC患者的临床与病理资料。结果:BCC与SCC年度发病整体均呈逐渐上升趋势。BCC、SCC男女患病比例分别为0.8∶1、1∶1,好发部位均为曝光部位(头面颈部和四肢),临床诊断与组织病理诊断符合率分别为62.4%与30.0%。临床诊断上,BCC易与脂溢性角化病(SK)、色素痣混淆;SCC易与BCC、鲍温病、光线性角化病(AK)混淆。结论:BCC和SCC为临床常见的非黑素性皮肤肿瘤,但易误诊和漏诊。临床医生对于可疑病灶应尽早行皮损组织病理检查。

Retrospective analysis of 270 cases of basal cell carcinoma and squamous cell carcinoma of skin

Objective：To summarize the clinical and histopathological data of skin basal cell carcinoma (BCC) and squamous cell carcinoma (SCC), in order to improve the diagnosis rate of BCC and SCC. Methods：The clinical and pathological data of 170 cases of BCC and 100 cases of SCC confirmed by histopathological sectioning which collected between January 1, 2014 to December 31, 2018 was retrospective analysed. Results：The annual incidence of BCC and SCC increased gradually. The ratio of male to female was 0.8∶1 and 1∶1 respectively. The most frequent sites of BCC and SCC were exposure sites (head, neck and limbs).The coincidence rate of BCC clinical diagnosis and histopathological diagnosis was 62.4%, and that of SCC was 300%. BCC was easily confused with seborrheic keratosis (SK) and melanocytic nevus in clinical diagnosis.The clinical diagnosis of SCC was easily confused wit. BCC, Bowen disease and AK.Conclusions：BCC and SCC are common non melanoma skin tumors, but it is easy to be misdiagnosed and escape diagnosis. Therefore, a histopathologic examination should be taken by clinicians for suspicious lesion as early as possible.