老年人皮肤基底细胞癌的临床与病理特征研究

目的 研究老年人皮肤基底细胞癌的临床及病理特征,提高对本病的认识及诊治水平. 方法 对174例老年人皮肤基底细胞癌病例临床特征、组织病理、误诊情况、治疗方法及预后等进行综合分析. 结果 本组患者病程长,平均(5±1.8)年,无明显发病诱因.头面部好发56.32％,多为单发(92.53％).临床表现以结节溃疡型93例(17.57％)、色素型31例(41.89％)、浅表型17例(22.97％)多见；病理分型以混合型63例(36.21％)、结节型42例(24.14％),浅表型37例(21.26％)多见.误诊64例(占36.78％),以混合色素型误诊最多；手术治疗效果好,预后佳. 结论 老年人基底细胞癌好发于头面部,其临床表现和组织病理学特征明显,手术治疗预后良好.

Clinical and pathology characteristic of skin basal cell carcinoma in the aged

Objective To research clinical and pathology characteristics of skin basal cell carcinoma in the aged to improve recognitions and diagnosis of this disease. Methods Clinical features, tissue pathology,diagnostic errors, therapies and prognosis of 174 aged cases who undered skin basal cell carcinoma were analyzed. Results The course of disease was long, and the average time was 5±1.8 years. The inducements of them were not obvious. The skin lesion was most commom on head and face, 56.32%, was single. Clinical manifestation of nodule and ulcer 93(17.57%), pigment 31(41.89%), superficial 17(22.97%) were common. Pathologyformas of mixde type 63(36.21%), nodular type 42(24.14%) and superficial type 37(21.26%) were commom. Misdiagnosis rate was 36.78 percent, most was mixed pigmented type.surgical treatment was preety goog,patients have good prognosis. Conclusions Skin basal cell carcinoma in advanced age always occurred on head and face, clinical manifestation and pathology characteristic of it were variety. Surgical treatment have good prognosis.