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临床资料患者,男,58岁。主因左耳背部红褐色斑块8年余,于2014年9月8日就诊。8年前无明显诱因,患者左耳后出现红褐色斑块,无明显自觉不适,皮损逐渐增大,1个月前于当地医院行组织病理检查示鲍恩病。因考虑手术后左耳无法完全保留,患者拒绝接受手术切除。既往史和过敏史无特殊。系统检查未见异常。皮肤科检查:左耳背侧可见直径约3.5 cm的不规则浸润性红褐色斑块,界限清楚,表面不光滑,有破溃、
Clinical data patients, male, 58 years old. The main cause of the left ear back reddish brown patches more than 8 years, on September 8, 2014 treatment. 8 years ago, no obvious incentive, the patient appeared after the left ear red brown plaque, no obvious discomfort, skin lesions gradually increased, 1 month ago at the local hospital histopathological examination showed Bowen disease. The patient refused to undergo a surgical resection due to the incomplete reservation of the left ear after surgery. Past history and allergies have no special history. No abnormal system check. Dermatology examination: the left dorsal visible diameter of about 3.5 cm irregular infiltration of reddish-brown plaques, clear boundaries, the surface is not smooth, rupture,