多发性基底细胞癌的皮肤镜特点

目的:明确多发性基底细胞癌的皮肤镜特点。方法:回顾性分析行皮肤镜检查并经组织病理确诊为基底细胞癌的7例多发性基底细胞癌患者的25处皮损。结果:皮损表现为散在血管模式20处,无血管模式5处;蓝灰色卵圆巢21处,多发性蓝灰色点及小球16处,不典型血管15处,无结构区13处,色素减退12处,线性毛细血管扩张11处,出血/溃疡11处,枫叶状结构10处,螺旋状血管10处,分支状血管7处,乳红色小球7处,红白背景下无结构区7处,逗号样血管5处,乳红色小点4处,轮幅样结构2处。结论:多发性基底细胞癌皮肤镜常见表现为散在血管模式,蓝灰色卵圆巢及多发性蓝灰色点及小球。

Dermoscopic features of multiple basal cell carcinoma

Objective:To determine the dermoscopic features of multiple basal cell carcinoma (BCC).Methods:The data of 7 patients (25 lesions) diagnosed as BCCs by dermoscopic and biopsy was retrospectively reviewed.Results:Under the dermoscopy,the image demonstrated scattered vascular pattern in 20 lesions and vascular pattern in 5,blue-grey ovoid nests in 21,brown globules/dots in16,atypical red vessels in 15,featureless areas in 13,hypopigmented in 12,telangiectasia in 11,haemorrhage-ulceration in 1 1,maple leaf-like structure in 10,corkscrew vessels in10,branching vessels in 7,red balls in 7,comma blood vessels in 5,red dot in 4 and wheel-like structure in 2.Conclusion:The common dermoscopic features of multiple BCCs are scattered vascular pattern,blue-grey ovoid nests and brown globules/dots.