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目的探讨脂溢性角化病临床与病理特征。方法对90例脂溢性角化病的临床和病理资料进行回顾性分析。结果棘细胞型、角化过度型和色素型占80.0%,51岁以上发病者占71.1%,头面颈等暴光部位发病者占45.6%,临床诊断误诊率34.4%,误诊为色素痣、寻常疣或扁平疣占误诊病例的67.7%。结论年龄和日光照射可能是脂溢性角化病的重要诱发因素;临床常易误诊为色素痣、寻常疣或扁平疣,误诊原因与病理类型和组织学变化有关。
Objective To investigate the clinical and pathological features of seborrheic keratosis. Methods The clinical and pathological data of 90 cases of seborrheic keratosis were retrospectively analyzed. Results Spinocytosis, hyperkeratosis type and pigment type accounted for 80.0%, 71.1% of patients over the age of 51, head and neck and other exposed parts of the disease accounted for 45.6%, the clinical diagnosis of misdiagnosis rate of 34.4%, misdiagnosed as pigmented nevus, common warts Or flat warts accounted for 67.7% of misdiagnosed cases. Conclusions Age and daylight exposure may be important inducing factors of seborrheic keratosis. Clinics are often misdiagnosed as pigmented nevus, common warts or flat warts. The causes of misdiagnosis are related to pathological types and histological changes.