| 陈自学.56例皮肤鳞状细胞癌临床及病理特征分析[J].中国烧伤创疡杂志,2020,(1):52~54. |
| DOI： |
| 中文关键词: 皮肤鳞状细胞癌 临床分型 病理分型 特征 |
| 英文关键词:Skin squamous cell carcinoma Clinical type Pathological type Characteristics |
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| 中文摘要: |
| 【摘要】目的 分析皮肤鳞状细胞癌患者的临床及病理特征。方法 回顾性分析2014年1月至2018年1月郑州大学附属郑州中心医院皮肤科收治的56例皮肤鳞状细胞癌患者的病历资料，统计并分析其性别、职业、发病年龄、发病部位、临床及病理分型分布情况。结果 56例皮肤鳞状细胞癌患者中男性明显多于女性（男女比例为1.67:1），40岁及以上发病者(46例，82.14%)明显多于40岁以下发病者（10例，17.86%）；其中，农民（39例，69.64%）及工人（12例，21.43%）等室外工作者的发病率明显高于室内工作者（5例，8.93%），且经常外露部位的发病率（30例，53.57%）明显高于非经常外露部位（26例，46.43%）；临床分型以结节隆起型最为多见（36例，64.29%），溃疡型次之（17例，30.36%），深在浸润型较为少见（3例，5.36%）；病理分型以普通型最为多见（38例，67.86%），特殊型较为少见（17例，30.36%）。结论 皮肤鳞状细胞癌的发生与紫外线照射强度与照射时间密切相关，其患者中男性、农民、年龄≥40岁者占比较大，且以结节隆起型、普通型患者居多。 |
| 英文摘要: |
| 【Abstract】 Objective To analyze the clinical and pathological characteristics of patients with skin squamous cell carcinoma. Methods Medical records of 56 patients with skin squamous cell carcinoma, admitted to Zhengzhou Central Hospital Affiliated to Zhengzhou University from January 2014 to January 2018, were retrospectively analyzed. The distribution of their genders, occupations, onset age, onset locations, clinical and pathological characteristics were analyzed. Results Among the 56 patients with skin squamous cell carcinoma, men outnumbered women significantly, (male-to-female ratio 1.67: 1), and those who were 40 years of age or older (46 cases, 82.14%) were more than those under 40 (10 cases, 17.86 %); those who worked outdoor, such as farmers (39 cases, 69.64%) and workers (12 cases, 21.43%), got much higher incidence than indoor workers (5 cases, 8.93%), and the incidence of frequently exposed body areas (30 cases, 53.57 %) was significantly higher than that of non-frequently exposed body areas (26 cases, 46.43%); the most common clinical characteristic was nodular bump (36 cases, 64.29%), followed by ulcer (17 cases, 30.36%), and deep infiltration was rare (3 cases, 5.36%); the most common pathological type was general type (38 cases, 67.86%) and special type was rare (17 cases, 30.36%). Conclusion The occurrence of skin squamous cell carcinoma is closely related to the intensity and duration of UV irradiation. Among the patients, male farmers aged 40 years old account for a large proportion, and they mainly suffer from nodular bump type and general type of skin squamous cell carcinoma. |
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