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目的探讨颜面部皮肤基底细胞癌(basal cell carcinoma,BCC)的诊断与治疗方法。方法回顾性分析22例颜面部BCC患者的临床特征、病理表现及临床治疗方法。结果 BBC患者肿块肉眼通常表现为伴有中央凹陷与蜡样光泽的结节,可出现或不出现溃疡,溃疡处可见结痂或出血,溃疡较大时溃疡边缘会出现卷曲。病理分型:实体型5例(22.7%),角化型4例(18.2%),色素型6例(27.3%),浅表型4例(18.2%),纤维上皮瘤型3例(13.6%);均经手术切除治疗,3例(13.6%)因皮损较小术后直接缝合,19例(86.4%)因皮损较大肿块切除后采取局部皮瓣修复。随访6个月均未出现复发。结论 BCC具有生长缓慢,转移率较低,预后较好的特点。早期诊断与治疗对患者的良好预后影响较大。
Objective To investigate the diagnosis and treatment of basal cell carcinoma (BCC) in the facial area. Methods Retrospective analysis of 22 cases of facial BCC clinical features, pathological findings and clinical treatment. Results The masses of the masses in BBC usually showed nodules with central depression and waxy luster, with or without ulcer, scab or hemorrhage in the ulcer and curly edge in the ulcer. The pathological classification included 5 cases of solid type (22.7%), 4 cases of keratosis (18.2%), 6 cases of pigmented type (27.3%), 4 cases of superficial type (18.2%) and 3 cases of fibroepithelial neoplasia %). All of them were surgically removed. Three patients (13.6%) were directly sutured due to lesser skin lesions. Nineteen (86.4%) patients were treated with local skin flap after resection due to large lesion. No follow-up 6 months recurrence. Conclusion BCC has the characteristics of slow growth, low metastasis rate and good prognosis. Early diagnosis and treatment of patients with a good prognosis greater impact.