息肉样基底细胞癌:范围回顾

IF 2.3 4区 医学 Q2 DERMATOLOGY
P. Wu, Ying-Xiu Dai, Yu-Ju Chou, Yung-Ting Chang, Chih-Chiang Chen, Sheng-Hsiang Ma
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引用次数: 0

摘要

息肉样基底细胞癌(Polypoid basal cell carcinoma, BCC)的特征是肿瘤与皮肤表面有一根茎连接,显微镜下肿瘤细胞局限于息肉区。对息肉样基底细胞癌的全面回顾仍然缺乏。因此,我们对息肉样细胞癌的临床表现、皮肤镜特征、组织病理学、治疗和预后进行了综述。文献检索在PubMed, Embase, Web of Science和Cochrane数据库中进行,直到2021年12月23日。研究报告至少有一例息肉样BCC患者符合病理和临床标准。共纳入47项研究,54例单发息肉样BCC和13例多发息肉样BCC。孤立性息肉样BCC发生于相对年轻的年龄,性别比例相等。这些肿瘤最常表现为红色或肉色的带梗丘疹,通常分布在非阳光照射的区域。大多数肿瘤以切除治疗,很少有复发或转移的报道。大多数多发性息肉样bcc患者有基底细胞痣综合征,表现为广泛性分布的肉色或棕色丘疹,类似于皮赘。在这些病变中仍然可以观察到典型的BCC皮肤镜特征,包括树状血管,蓝灰色小球和卵形巢,有助于早期诊断。总之,息肉样BCC是具有带梗形态的BCC的不同变体。医生应注意息肉样基底细胞癌,并可使用皮肤镜辅助早期诊断和治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Polypoid basal cell carcinoma: A scoping review
Polypoid basal cell carcinoma (BCC) is characterized by a stalk connecting the tumor and skin surfaces, with neoplastic cells restricted in the polypoid zone microscopically. A thorough review of polypoid BCC is still lacking. Thus, we performed this scoping review to investigate the clinical manifestations, dermoscopic features, histopathology, treatment, and prognosis of polypoid BCC. A literature search was conducted in the PubMed, Embase, Web of Science, and Cochrane databases until December 23, 2021. Studies reporting at least one patient with polypoid BCC following the pathology and clinical criteria were included. A total of 47 studies with 54 patients with solitary polypoid BCC and 13 patients with multiple polypoid BCCs were included. Solitary polypoid BCC occurred at a relatively younger age, with an equal sex ratio. These tumors most commonly presented as red or flesh-colored pedunculated papules and were commonly distributed over nonsun-exposed areas. Most tumors were managed with excision, and recurrence or metastasis was seldom reported. Most patients with multiple polypoid BCCs had basal cell nevus syndrome and presented with generalized distributed, flesh-colored, or brown papules mimicking skin tags. Typical dermoscopic features of BCC could still be observed in these lesions, including arborizing vessels, blue-gray globules, and ovoid nests, which could aid in early diagnosis. In conclusion, polypoid BCC is a distinct variant of BCC with pedunculated morphology. Physicians should be aware of polypoid BCC and may use dermoscopy to aid in early diagnosis and treatment.
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来源期刊
Dermatologica Sinica
Dermatologica Sinica DERMATOLOGY-
CiteScore
2.80
自引率
20.00%
发文量
28
审稿时长
>12 weeks
期刊介绍: Dermatologica Sinica aims to publish high quality scientific research in the field of dermatology, with the goal of promoting and disseminating dermatological-related medical science knowledge to improve global health. Articles on clinical, laboratory, educational, and social research in dermatology and other related fields that are of interest to the medical profession are eligible for consideration. Review articles, original articles, brief reports, case reports and correspondence are accepted.
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