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目的了解头皮非黑素瘤性皮肤癌(nonmelanoma skin cancers,NMSC)患者的临床特征。方法回顾性分析本院1999年8月-2014年12月来自江西农村地区的头皮NMSC住院患者的临床和组织病理资料。结果共入选头皮NMSC共59例,其中男43例,女16例,男女比例为2.7∶1;平均发病年龄68.0±11.8岁;皮肤鳞状细胞癌(squamous cell carcinoma,SCC)49例(83.05%),基底细胞癌(basal cell carcinoma,BCC)10例(16.95%);病程2个月~10年,平均59.7±85.0个月;农民48例(81.36%),老年患者(≥60岁)48例(81.36%),既往有头癣病史并遗留陈旧性瘢痕和脱发20例(33.90%),其他原因致瘢痕7例(11.86%);在SCC患者中,有局部或远处转移8例(13.56%)。在BCC中,10例均为结节溃疡型。结论老年男性是头皮NMSC的好发人群,以SCC多见,就诊较迟,转移率较高,瘢痕和脱发可能是其发病的一个重要诱因。
Objective To investigate the clinical features of patients with nonmelanoma skin cancers (NMSC). Methods The clinical and histopathological data of hospitalized patients with scalp NMSC from rural areas of Jiangxi Province from August 1999 to December 2014 were retrospectively analyzed. Results A total of 59 cases of scalp NMSC were recruited. There were 43 males and 16 females with a ratio of 2.7:1. The average age of onset was 68.0 ± 11.8 years. The incidence of squamous cell carcinoma (SCC) in 49 cases (83.05% ), Basal cell carcinoma (BCC) in 10 cases (16.95%); duration of 2 months to 10 years, an average of 59.7 ± 85.0 months; 48 cases of peasants (81.36%), elderly patients (81.36%) had previous history of tinea capitis and left old scars and hair loss in 20 cases (33.90%), other causes of scar in 7 cases (11.86%); in SCC patients, there were 8 cases of local or distant metastasis 13.56%). In BCC, 10 cases were nodular ulceration. Conclusion Elderly men are the predilection for the scalp NMSC. SCC is more common, delayed treatment, higher transfer rate, scarring and hair loss may be an important incentive for its occurrence.