| 摘要: |
| ［摘要］ 目的 分析基层医院皮肤肿瘤患病情况，探讨该地区皮肤肿瘤的发病规律。方法 收集该院2011-01～2016-12期间进行皮肤组织病理活检证实为皮肤肿瘤的病例共232例。将皮肤肿瘤患者临床和病理资料整理分类，并进行统计学分析。结果 （1）良性皮肤肿瘤和恶性/交界性皮肤肿瘤的男女间差异无统计学意义。（2）组织来源上数量最多的依次是表皮肿瘤和黑素细胞性肿瘤。（3）数量最多的皮肤肿瘤依次是脂溢性角化症、基底细胞癌、色痣、皮肤纤维瘤和鲍温病。（4）临床与病理符合率较低，仅为52.59%。（5）恶性/交界性肿瘤患者确诊时的年龄显著高于良性肿瘤患者，差异有统计学意义（P<0.01）。（6）暴露部位更容易发生恶性/交界性肿瘤。结论 该院皮肤肿瘤行病理检查中以表皮肿瘤和黑素细胞性肿瘤多见，病理送检率偏低，临床和病理诊断符合率低。临床医师尤其是基层医师应加倍重视组织病理活检，尤其是对年长者暴露部位的皮肤肿物。 |
| 关键词: 皮肤肿瘤 临床诊断 病理诊断 |
| DOI：10.3969/j.issn.1674-3806.2018.02.12 |
| 分类号:R 739.5 |
| 基金项目: |
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| Clinical and pathological analysis of 232 cases with skin tumors |
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MEI Ce-fang, LI Juan, LI Gao-feng, et al.
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Shaoguan Chronic Disease Prevention and Treatment Hospital, Guangdong 512026, China
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| Abstract: |
| ［Abstract］ Objective To analyze the prevalence of skin tumors in primary hospital.Methods 232 patients with pathological diagnosis as skin tumors were collected in our hospital from January 2011 to December 2016, and their clinical and pathological data were classified and analyzed.Results (1)There was no significant difference in the rate of the benign or malignant tumors between male and female patients. (2)According to the origins of the tissue organization, the epidermal tumors were the most common, followed by melanocytic tumors. (3)The largest number of skin tumors was as follows: seborrheic keratosis, basal cell carcinoma, nevus, dermatofibroma and Bowen′s disease. (4)The coincidence rate of clinical diagnosis and pathological diagnosis is about 52.59%. (5)The age of the patients with malignant tumors was significantly higher than that of the patients with benign tumors（P<0.01）. (6)The exposed parts were more likely to occur malignant tumors or borderline tumors.Conclusion The epidermal and melanocytic tumors are common skin tumors in the patients who received biopsy in our hospital. The rate of pathological examination and the coincidence rate of clinical diagnosis and pathological diagnosis are low. The clinicians, especially from primary hospitals, should pay more attention to the biopsy,especially the tumors at the place of exposed locations in the elderly patients. |
| Key words: Skin tumors Clinical diagnosis Pathological diagnosis |
