Assessment of Basal Cell Carcinoma Using Dermoscopy and High Frequency Ultrasound Examination

被引:18
作者
Halip, Ioana-Alina [1 ]
Vata, Dan [1 ,2 ]
Statescu, Laura [1 ,2 ]
Salahoru, Paul [3 ]
Patrascu, Adriana Ionela [2 ]
Temelie Olinici, Doinita [2 ]
Tarcau, Bogdan [2 ]
Popescu, Ioana-Adriana [1 ]
Mocanu, Madalina [4 ]
Constantin, Anne-Marie [5 ]
Crisan, Maria [5 ]
Brihan, Ilarie [6 ]
Nicolescu, Alin Codrut [7 ]
Gheuca-Solovastru, Laura [1 ,2 ]
机构
[1] Grigore T Popa Univ Med & Pharm, Dept Dermatol, Iasi 700115, Romania
[2] St Spiridon Cty Emergency Clin Hosp, Dermatol Clin, Iasi 700115, Romania
[3] Grigore T Popa Univ Med & Pharm, Dept Thorac Surg, Iasi 700115, Romania
[4] Grigore T Popa Univ Med & Pharm, Dept Oral Dermatol, Iasi 700115, Romania
[5] Iuliu Hat ieganu Univ Med & Pharm, Fac Med, Dept Histol, Cluj Napoca 400000, Romania
[6] Univ Oradea, Fac Med & Pharm, Dept Dermatol, Oradea 410073, Romania
[7] Roma Med Ctr Diag & Treatment, Bucharest 011773, Romania
关键词
basal cell carcinoma; dermoscopy; high frequency ultrasound examination; HIGH-RESOLUTION ULTRASOUND; PHOTODYNAMIC THERAPY; PREOPERATIVE ASSESSMENT; SITE DISTRIBUTION; SKIN TUMORS; SUBTYPES; CANCER; AGE; US; DERMATOSCOPY;
D O I
10.3390/diagnostics12030735
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Basal cell carcinoma (BCC) is the most common form of cutaneous neoplasia in humans, and dermoscopy may provide valuable information for histopathological classification of BCC, which allows for the choice of non-invasive topical or surgical therapy. Similarly, dermoscopy may allow for the identification of incipient forms of BCC that cannot be detected in clinical examination. The importance of early diagnosis using the dermoscopy of superficial BCC forms is proven by the fact that despite their indolent clinical appearance, they can be included in high-risk BCC forms due to the rate of postoperative recurrence. Nodular pigmentary forms of BCCs present ovoid gray-blue nests or multiple gray-blue dots/globules associated with arborized vessels, sometimes undetectable on clinical examination. The management of BCC depends on this, as pigmentary forms have been shown to have a poor response to photodynamic therapy. High frequency ultrasound examination (HFUS) aids in the diagnosis of BCC with hypoechoic tumour masses, as well as in estimating tumour size (thickness and diameter), presurgical margin delineation, and surgical planning. The examination is also useful for determining the invasion of adjacent structures and for studying local recurrences. The use of dermoscopy in combination with HFUS allows for optimisation of the management of the oncological patient.
引用
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页数:12
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