[活检方法的选择-皮肤病理诊断的关键]。

Dermatologie (Heidelberg, Germany) Pub Date : 2025-02-01 Epub Date: 2025-01-21 DOI:10.1007/s00105-024-05461-1
Almut Böer-Auer, Christian Rose
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引用次数: 0

摘要

皮肤活检是皮肤科实践中最常用的诊断措施之一。根据诊断问题,选择活检程序类型和活检位置对组织学评估有相当大的影响。根据疾病的不同,必须考虑不同的方面才能作出准确的诊断。这篇文章总结了这些湿疹,红斑鳞状皮肤病,起泡疾病,皮下炎症过程和脱发的例子。不同活检类型的优点和缺点也讨论了肿瘤疾病。目的是提请注意的困难,在组织病理鉴别诊断引起的活检程序,从而提高质量的活检和诊断。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Selection of the biopsy procedure-critical for dermatopathological diagnostics].

Skin biopsy is one of the most frequently performed diagnostic measures in dermatological practice. Depending on the diagnostic question, the selection of the type of biopsy procedure and the biopsy location can have a considerable influence on histological assessment. Depending on the disease, different aspects must be taken into account for a precise diagnosis. This article summarizes these for exanthema, erythematosquamous dermatoses, blistering diseases, subcutaneous inflammatory processes, and alopecia with examples. Advantages and disadvantages of different biopsy types are also addressed for neoplastic diseases. The aim is to draw attention to difficulties in histopathologic differential diagnosis caused by the biopsy procedure and, thus, to improve the quality of biopsy and diagnosis.

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