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中华临床医师杂志(电子版) ›› 2023, Vol. 17 ›› Issue (02) : 234 -236. doi: 10.3877/cma.j.issn.1674-0785.2023.02.022

病例报告

基底鳞状细胞癌一例的皮肤镜表现及文献综述
王媛, 李薇薇(), 吴雯婷, 陈海龙, 张春雷   
  1. 100191 北京,北京大学第三医院皮肤科
  • 收稿日期:2022-12-28 出版日期:2023-02-15
  • 通信作者: 李薇薇
  • 基金资助:
    北京大学第三医院青年孵育基金后备人选(BYSYFY2021012); 北京大学第三医院院临床重点项目(BYSYZD2019015)

Dermoscopic manifestations of basal squamous cell carcinoma: a case report and literature review

Yuan Wang, Weiwei Li(), Wenting Wu   

  • Received:2022-12-28 Published:2023-02-15
  • Corresponding author: Weiwei Li
引用本文:

王媛, 李薇薇, 吴雯婷, 陈海龙, 张春雷. 基底鳞状细胞癌一例的皮肤镜表现及文献综述[J]. 中华临床医师杂志(电子版), 2023, 17(02): 234-236.

Yuan Wang, Weiwei Li, Wenting Wu. Dermoscopic manifestations of basal squamous cell carcinoma: a case report and literature review[J]. Chinese Journal of Clinicians(Electronic Edition), 2023, 17(02): 234-236.

图1 患者皮损临床照。右鼻旁直径1 cm左右暗红色结节,部分伴有黑色色素,中央角化增生
图2 皮损皮肤镜图像。中央中央黄白色角化物伴血痂,右下区域见多发不规则白色结构及白色无结构区,可见玫瑰花瓣征,伴散在不规则线状血管扩张,血管周围有白晕,表面可见散在白色鳞屑。左上区域可见黑褐色色素离心性分布,多呈巢状,并见不规则线状、分支状及放射状血管扩张,表面光滑无明显鳞屑(20倍)
图3 组织病理图像。显微镜低倍下可见:左侧表皮角化过度,表皮向真皮高度不规则增生,增生细胞胞浆多红染,呈鳞状细胞分化;右侧增生肿瘤细胞为基底样、多呈腺腔样排列,真皮浅层伴散在棕色色素(HE×40)
表1 89例皮肤镜分析的特点汇总
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