中华皮肤科杂志 ›› 2021, Vol. 54 ›› Issue (1): 10-18.doi: 10.35541/cjd.20200446
中国中西医结合学会皮肤性病学分会皮肤影像学组
收稿日期:2020-05-09
修回日期:2020-11-10
发布日期:2021-01-05
通讯作者:
邹先彪；陶娟
E-mail:xbzou@126.com; tjhappy@126.com
Skin Imaging Group, Combination of Traditional and Western Medicine Dermatology
Received:2020-05-09
Revised:2020-11-10
Published:2021-01-05
Contact:
Zou Xianbiao; Tao Juan
E-mail:xbzou@126.com; tjhappy@126.com
摘要： 【摘要】 皮肤镜在皮肤病诊疗中的应用日益广泛，大多数皮损皮肤镜下结构特征与组织病理学表现有对应关系，因此皮肤镜可作为皮肤病临床和病理之间联系的桥梁。本共识详细阐述非黑素细胞性皮肤肿瘤的皮肤镜特征和组织病理的对应关系，希望有助于皮肤镜被更为规范、高效、精准地应用，为临床诊断和治疗决策提供有价值的临床信息。
中国中西医结合学会皮肤性病学分会皮肤影像学组. [开放获取] 常见非黑素细胞性皮肤肿瘤皮肤镜特征与组织病理表现的对应关系专家共识[J]. 中华皮肤科杂志, 2021,54(1):10-18. doi:10.35541/cjd.20200446
Skin Imaging Group, Combination of Traditional and Western Medicine Dermatology. Correlation between dermoscopic and histopathological features of common non-melanocytic skin tumors: an expert consensus[J]. Chinese Journal of Dermatology, 2021, 54(1): 10-18.doi:10.35541/cjd.20200446
| ［1］ | Marghoob AA, Malvehy J, Braun RP. Atlas of Dermoscopy［M］. 2nd ed. New York: Informa Healthcare, 2012. |
| ［2］ | Lallas A, Argenziano G, Ioannides D. Dermoscopy for basal cell carcinoma subtype prediction［J］. Br J Dermatol, 2016,175（4）:674⁃675. doi: 10.1111/bjd.14657. |
| ［3］ | 中国医师协会皮肤科医师分会, 中国医疗保健国际交流促进会皮肤科分会, 中国中西医结合学会皮肤性病专业委员会, 等. 皮肤镜诊断规范用语及硬件参数专家共识（2017）［J］. 中华皮肤科杂志, 2017,50（7）:472⁃477. doi: 10.3760/cma.j.issn. 0412⁃4030.2017.07.002. |
| ［4］ | 中国中西医结合学会皮肤性病专业委员会皮肤影像学组, 中国医疗保健国际交流促进会皮肤科分会皮肤影像学组, 中华医学会皮肤性病学分会皮肤病数字化诊断亚学组, 等. 中国基底细胞癌皮肤镜特征专家共识（2019）［J］. 中华皮肤科杂志, 2019,52（6）:371⁃377. doi: 10.3760/cma.j.issn.0412⁃4030. 2019.06.001. |
| ［5］ | 中国医疗保健国际交流促进会皮肤科分会皮肤影像学组, 中华医学会皮肤性病学分会皮肤病数字化诊断亚学组, 中国中西医结合学会皮肤性病专业委员会皮肤影像学组, 等. 鳞状细胞肿瘤皮肤镜特征专家共识（2017）［J］. 中华皮肤科杂志,2018,51（2）:87⁃91. doi: 10.3760/cma.j.issn.0412⁃4030.2018.02. 001. |
| ［6］ | 林景荣, 邹先彪. 感染性和寄生虫性皮肤病的皮肤镜诊断专家共识［J］. 中国麻风皮肤病杂志, 2017,33（1）:1⁃7. |
| ［7］ | 中西医结合学会皮肤性病学专业委员会皮肤影像学亚专业委员会. 红斑鳞屑性皮肤病皮肤镜诊断专家共识［J］. 中国麻风皮肤病杂志, 2016,32（2）:65⁃69. |
| ［8］ | 国家皮肤与免疫疾病临床医学研究中心, 中国医疗保健国际交流促进会华夏皮肤影像人工智能协作组, 中国医疗保健国际交流促进会皮肤科分会皮肤影像学组, 等. 日光性雀斑样痣、脂溢性角化病及扁平苔藓样角化病皮肤镜特征专家共识［J］. 中华皮肤科杂志, 2019,52（12）:878⁃883. doi: 10.35541/cjd. 20190480. |
| ［9］ | 中国医疗保健国际交流促进会华夏皮肤影像人工智能协作组, 中国医疗保健国际交流促进会皮肤科分会皮肤影像学组, 中国中西医结合学会皮肤性病专业委员会皮肤影像学组, 等. 中国皮肤恶性黑素瘤皮肤镜特征专家共识［J］. 中华皮肤科杂志, 2020,53（6）:401⁃408. doi: 10.35541/cjd.20190688. |
| ［10］ | Kittler H, Marghoob AA, Argenziano G, et al. Standardization of terminology in dermoscopy/dermatoscopy: results of the third consensus conference of the International Society of Dermoscopy［J］. J Am Acad Dermatol, 2016,74（6）:1093⁃1106. doi: 10.1016/j.jaad.2015.12.038. |
| ［11］ | Lallas A, Apalla Z, Ioannides D, et al. Dermoscopy in the diagnosis and management of basal cell carcinoma［J］. Future Oncol, 2015,11（22）:2975⁃2984. doi: 10.2217/fon.15.193. |
| ［12］ | Scope A, Benvenuto⁃Andrade C, Agero AL, et al. Nonmelanocytic lesions defying the two⁃step dermoscopy algorithm［J］. Dermatol Surg, 2006,32（11）:1398⁃1406. doi: 10. 1111/j.1524⁃4725.2006.32312.x. |
| ［13］ | Navarrete⁃Dechent C, Bajaj S, Marchetti MA, et al. Association of shiny white blotches and strands with nonpigmented basal cell carcinoma: evaluation of an additional dermoscopic diagnostic criterion［J］. JAMA Dermatol, 2016,152（5）:546⁃552. doi: 10.1001/jamadermatol.2015.5731. |
| ［14］ | Verzi AE, Quan VL, Walton KE, et al. The diagnostic value and histologic correlate of distinct patterns of shiny white streaks for the diagnosis of melanoma: a retrospective, case⁃control study［J］. J Am Acad Dermatol, 2018,78（5）:913⁃919. doi: 10.1016/j.jaad.2017.11.021. |
| ［15］ | Liebman TN, Rabinovitz HS, Balagula Y, et al. White shiny structures in melanoma and BCC［J］. Arch Dermatol, 2012,148（1）:146. doi: 10.1001/archdermatol.2011.618. |
| ［16］ | Micantonio T, Gulia A, Altobelli E, et al. Vascular patterns in basal cell carcinoma［J］. J Eur Acad Dermatol Venereol, 2011,25（3）:358⁃361. doi: 10.1111/j.1468⁃3083.2010.03734.x. |
| ［17］ | Zalaudek I, Kreusch J, Giacomel J, et al. How to diagnose nonpigmented skin tumors: a review of vascular structures seen with dermoscopy: part II. Nonmelanocytic skin tumors［J］. J Am Acad Dermatol, 2010, 63（3）:377⁃386; quiz 387⁃388. doi: 10. 1016/j.jaad.2009.11.697. |
| ［18］ | Ahnlide I, Zalaudek I, Nilsson F, et al. Preoperative prediction of histopathological outcome in basal cell carcinoma: flat surface and multiple small erosions predict superficial basal cell carcinoma in lighter skin types［J］. Br J Dermatol, 2016,175（4）:751⁃761. doi: 10.1111/bjd.14499. |
| ［19］ | Rosendahl C, Cameron A, Argenziano G, et al. Dermoscopy of squamous cell carcinoma and keratoacanthoma［J］. Arch Dermatol, 2012,148（12）:1386⁃1392. doi: 10.1001/archdermatol. 2012.2974. |
| ［20］ | Cameron A, Rosendahl C, Tschandl P, et al. Dermatoscopy of pigmented Bowen′s disease［J］. J Am Acad Dermatol, 2010,62（4）:597⁃604. doi: 10.1016/j.jaad.2009.06.008. |
| ［21］ | Peris K, Micantonio T, Piccolo D, et al. Dermoscopic features of actinic keratosis［J］. J Dtsch Dermatol Ges, 2007,5（11）:970⁃976. doi: 10.1111/j.1610⁃0387.2007.06318.x. |
| ［22］ | Yélamos O, Braun RP, Liopyris K, et al. Dermoscopy and dermatopathology correlates of cutaneous neoplasms［J］. J Am Acad Dermatol, 2019,80（2）:341⁃363. doi: 10.1016/j.jaad.2018. 07.073. |
| ［23］ | Zalaudek I, Giacomel J, Argenziano G, et al. Dermoscopy of facial nonpigmented actinic keratosis［J］. Br J Dermatol, 2006,155（5）:951⁃956. doi: 10.1111/j.1365⁃2133.2006.07426.x. |
| ［24］ | Haspeslagh M, Noë M, De Wispelaere I, et al. Rosettes and other white shiny structures in polarized dermoscopy: histological correlate and optical explanation［J］. J Eur Acad Dermatol Venereol, 2016,30（2）:311⁃313. doi: 10.1111/jdv.13080. |
| ［25］ | 李薇薇, 吴雯婷, 张华, 等. 偏振光皮肤镜下玫瑰花瓣征的诊断价值［J］. 中华皮肤科杂志, 2018,51（3）:220⁃223. doi: 10. 3760/cma.j.issn.0412⁃4030.2018.03.015. |
| ［26］ | Cuellar F, Vilalta A, Puig S, et al. New dermoscopic pattern in actinic keratosis and related conditions［J］. Arch Dermatol, 2009,145（6）:732. doi: 10.1001/archdermatol.2009.86. |
| ［27］ | Liebman TN, Scope A, Rabinovitz H, et al. Rosettes may be observed in a range of conditions［J］. Arch Dermatol, 2011,147（12）:1468. doi: 10.1001/archdermatol.2011.312. |
| ［28］ | Liebman TN, Rabinovitz HS, Dusza SW, et al. White shiny structures: dermoscopic features revealed under polarized light［J］. J Eur Acad Dermatol Venereol, 2012,26（12）:1493⁃1497. doi: 10.1111/j.1468⁃3083.2011.04317.x. |
| ［29］ | Ankad BS, Shah SD, Adya KA. White rosettes in discoid lupus erythematosus: a new dermoscopic observation［J］. Dermatol Pract Concept, 2017,7（4）:9⁃11. doi: 10.5826/dpc.0704a03. |
| ［30］ | González⁃Álvarez T, Armengot⁃Carbó M, Barreiro A, et al. Dermoscopic rosettes as a clue for pigmented incipient melanoma［J］. Dermatology, 2014,228（1）:31⁃33. doi: 10.1159/000356822. |
| ［31］ | Wolner ZJ, Yélamos O, Liopyris K, et al. Enhancing skin cancer diagnosis with dermoscopy［J］. Dermatol Clin, 2017,35（4）:417⁃437. doi: 10.1016/j.det.2017.06.003. |
| ［32］ | Moscarella E, Longo C, Zalaudek I, et al. Dermoscopy and confocal microscopy clues in the diagnosis of psoriasis and porokeratosis［J］. J Am Acad Dermatol, 2013,69（5）:e231⁃e233. doi: 10.1016/j.jaad.2013.06.008. |
| ［33］ | Goncharova Y, Attia EA, Souid K, et al. Dermoscopic features of clinically inflammatory dermatoses and their correlation with histopathologic reaction patterns［J］. Arch Dermatol Res, 2015,307（1）:23⁃30. doi: 10.1007/s00403⁃014⁃1513⁃3. |
| ［34］ | Minagawa A. Dermoscopy⁃pathology relationship in seborrheic keratosis［J］. J Dermatol, 2017,44（5）:518⁃524. doi: 10.1111/1346⁃8138.13657. |
| ［35］ | Navarrete⁃Dechent C, Bajaj S, Marghoob AA, et al. Multiple familial trichoepithelioma: confirmation via dermoscopy［J］. Dermatol Pract Concept, 2016,6（3）:51⁃54. doi: 10.5826/dpc.06 03a10. |
| ［36］ | Kamińska⁃Winciorek G, Spiewak R. Dermoscopy on nevus comedonicus: a case report and review of the literature［J］. Postepy Dermatol Alergol, 2013,30（4）:252⁃254. doi: 10.5114/pdia.2013.37036. |
| ［37］ | Carrera C, Segura S, Aguilera P, et al. Dermoscopic clues for diagnosing melanomas that resemble seborrheic keratosis［J］. JAMA Dermatol, 2017,153（6）:544⁃551. doi: 10.1001/jama⁃dermatol.2017.0129. |
| ［38］ | Braun RP, Ludwig S, Marghoob AA. Differential diagnosis of seborrheic keratosis: clinical and dermoscopic features［J］. J Drugs Dermatol, 2017,16（9）:835⁃842. |
| ［39］ | Zaballos P, Puig S, Llambrich A, et al. Dermoscopy of dermatofibromas: a prospective morphological study of 412 cases［J］. Arch Dermatol, 2008,144（1）:75⁃83. doi: 10.1001/arch⁃dermatol.2007.8. |
| ［40］ | Kim NH, Zell DS, Kolm I, et al. The dermoscopic differential diagnosis of yellow lobularlike structures［J］. Arch Dermatol, 2008,144（7）:962. doi: 10.1001/archderm.144.7.962. |
| ［41］ | Zaballos P, Ara M, Puig S, et al. Dermoscopy of sebaceous hyperplasia［J］. Arch Dermatol, 2005,141（6）:808. doi: 10.1001/archderm.141.6.808. |
| ［42］ | Kelati A, Baybay H, Gallouj S, et al. Dermoscopic analysis of nevus sebaceus of Jadassohn: a study of 13 cases［J］. Skin Appendage Disord, 2017,3（2）:83⁃91. doi: 10.1159/000460258. |
| ［43］ | Togawa Y. Review of vasculature visualized on dermoscopy［J］. J Dermatol, 2017,44（5）:525⁃532. doi: 10.1111/1346⁃8138. 13686. |
| ［44］ | Morales A, Puig S, Malvehy J, et al. Dermoscopy of molluscum contagiosum［J］. Arch Dermatol, 2005,141（12）:1644. doi: 10. 1001/archderm.141.12.1644. |
| ［45］ | Ardigo M, Buffon RB, Scope A, et al. Comparing in vivo reflectance confocal microscopy, dermoscopy, and histology of clear⁃cell acanthoma［J］. Dermatol Surg, 2009,35（6）:952⁃959. doi: 10.1111/j.1524⁃4725.2009.01162.x. |
| ［46］ | Xu C, Liu J, Wang T, et al. Dermoscopic patterns of early⁃stage mycosis fungoides in a Chinese population［J］. Clin Exp Dermatol, 2019,44（2）:169⁃175. doi: 10.1111/ced.13680. |
| ［47］ | Chi C, Liu J. Image gallery: porokeratosis under the dermoscopic furrow ink test and ultraviolet light［J］. Br J Dermatol, 2017,177（4）:e159. doi: 10.1111/bjd.15821. |
| ［48］ | Sotoodian B, Mahmood MN, Salopek TG. Clinical and dermoscopic features of pigmented disseminated superficial actinic porokeratosis: case report and literature review［J］. J Cutan Med Surg, 2018,22（2）:229⁃231. doi: 10.1177/12034754 17733465. |
| ［49］ | Oiso N, Kawada A. The dermoscopic features in infantile hemangioma［J］. Pediatr Dermatol, 2011,28（5）:591⁃593. doi: 10. 1111/j.1525⁃1470.2011.01385.x. |
| ［50］ | Moscarella E, Zalaudek I, Buccini P, et al. Dermoscopy and confocal microscopy of thrombosed hemangiomas［J］. Arch Dermatol, 2012,148（3）:410. doi: 10.1001/archdermatol.2011. 1027. |
| ［51］ | 张颂, Mohammad Alashka, 徐俊涛, 等. 化脓性肉芽肿的皮肤镜特征［J］. 中国麻风皮肤病杂志, 2017,33（3）:146⁃148. |
| ［52］ | Zaballos P, Carulla M, Ozdemir F, et al. Dermoscopy of pyogenic granuloma: a morphological study［J］. Br J Dermatol, 2010,163（6）:1229⁃1237. doi: 10.1111/j.1365⁃2133.2010.10040.x. |
| ［53］ | Mun JH, Park SM, Kim GW, et al. Clinical and dermoscopic characteristics of extramammary Paget disease: a study of 35 cases［J］. Br J Dermatol, 2016,174（5）:1104⁃1107. doi: 10.1111/bjd.14300. |
| ［54］ | Kato J, Horimoto K, Sato S, et al. Dermoscopy of melanoma and non⁃melanoma skin cancers［J］. Front Med （Lausanne）, 2019,6:180. doi: 10.3389/fmed.2019.00180. |
| [1] | 宋雨晴 杨楠 刘琳琳 冯子仪 韩世新 周梅娟. [开放获取] 皮肤磨削术治疗家族性良性慢性天疱疮6例临床观察[J]. 中华皮肤科杂志, 2024, 0(4): 20220278-e20220278. |
| [2] | 王艺萌 吴雯婷 张倩 张春雷 李薇薇. 肛周外生殖器部位原发性实性肿瘤389例临床和病理诊断分析[J]. 中华皮肤科杂志, 2024, 57(4): 316-323. |
| [3] | 洪永镇 王倩 梁俊琴. 二代测序技术在非遗传性皮肤病领域中的运用[J]. 中华皮肤科杂志, 2024, 0(3): 20220436-e20220436. |
| [4] | 陈立新 王莹 高西波 秦蓓 李钦峰. 儿童经典型和色素减退型扁平疣反射式共聚焦显微镜特征及与组织病理的对应关系初探[J]. 中华皮肤科杂志, 2024, 57(3): 249-253. |
| [5] | 华优 任海燕 宋秀祖. 持久性色素异常性红斑5例皮肤镜和反射式共聚焦显微镜特征分析[J]. 中华皮肤科杂志, 2024, 0(2): 20220827-e0220827. |
| [6] | 邵依 王雷 刘芳. 蕈样肉芽肿伴大细胞转化和原发性皮肤间变性大细胞淋巴瘤临床病理比较分析[J]. 中华皮肤科杂志, 2023, 56(9): 853-857. |
| [7] | 岳超 段梦莹 王涛 章满玉 戴叶芹 彭建中 宋秀祖. 上睑眼轮匝肌岛状皮瓣修复眼睑及眶周皮肤肿瘤切除后继发缺损28例回顾性分析[J]. 中华皮肤科杂志, 2023, 56(9): 862-865. |
| [8] | 连盼盼 刘军 苏忠兰 王宏伟. 过氧化物酶体增殖物激活受体γ对皮肤生理功能和病理过程的影响[J]. 中华皮肤科杂志, 2023, 56(4): 365-368. |
| [9] | 任发亮 王华 肖异珠. 透明细胞丘疹病57例临床特征分析[J]. 中华皮肤科杂志, 2023, 56(4): 309-312. |
| [10] | 王媛丽 刘玲 孙中斌 李凯. 临床误诊为黑素瘤的其他疾病141例分析[J]. 中华皮肤科杂志, 2023, 56(3): 244-246. |
| [11] | 陈启韬 李煜乾 邵光辉 朱晶 朱麒麟 李中明 杜旭峰 范卫新. 头皮糜烂性脓疱性皮病研究进展[J]. 中华皮肤科杂志, 2023, 0(2): 20210803-e20210803. |
| [12] | 李安琪 孙秋宁. 脑源性神经营养因子与皮肤病[J]. 中华皮肤科杂志, 2023, 0(2): 20210746-e20210746. |
| [13] | 郑娜娜 曾荣, 陶盈凯 李岷, . 环状RNA与皮肤肿瘤相关性研究进展[J]. 中华皮肤科杂志, 2023, 0(2): 20210893-e20210893. |
| [14] | 左墨 刘国艳. 皮肤影像技术辅助确定基底细胞癌手术切缘的应用进展[J]. 中华皮肤科杂志, 2023, 0(2): 20220290-e20220290. |
| [15] | 李芳 王晓晴 刘梦茜 蒋佳怡 黄淑黛 王大光. 复发痣的研究进展[J]. 中华皮肤科杂志, 2023, 0(2): 20220431-e20220431. |
|
