中国医学创新2018，Vol.15Issue(30)：9-13,5.DOI:10.3969/j.issn.1674-4985.2018.30.003
脂溢性角化症皮肤镜表现与病理特征的关系分析
Relationship between Dermatoscopy Manifestation and Pathological Features of Seborrheic Keratosis
摘要
Abstract
Objective:To explore the relationship between dermatoscopy manifestation and pathological features of seborrheic keratosis (SK).Method:A total of 66 patients who were clinically diagnosed as SK in our outpatient clinic from January 2016 to December 2017 were selected.The dermatoscopy manifestation and pathological features were observed,and the relationship between different dermatoscopy manifestations and pathological characteristics were analyzed.Result:Among the 66 patients,58 cases(87.88%) were diagnosed as SK by dermatoscopy and 59 cases(89.39%) were diagnosed by pathology.With pathological examination as the gold standard,the sensitivity of dermatoscopy was 93.22%(55/59),the specificity was 57.14%(4/7),the total coincidence rate was 89.39%(59/66),the misdiagnosis rate was 42.86%(3/7),the missed diagnosis rate was 6.78%(4/59),the Youden index 0.504,and the Kappa value was 0.901(P=0.004).The pathological types of four types of dermatoscopy were different,the differences were statistically significant(P<0.05). Conclusion:Dermatoscopy manifestation and pathological characteristics has high consistency,patch type main pathological classification for diversification type,velvet sample main pathological classification of nests, verrucous hyperplasia type main pathological type is adenoid and nests,flat papules type main pathological types of stratum spinosum hypertrophic.关键词
脂溢性角化症/皮肤镜表现/病理特征Key words
Seborrheic keratosis/Dermatoscopy manifestation/Pathological features引用本文复制引用
李俊杰,王玉玲,周韵聪,王鲁梅,张峰,唐亚平..脂溢性角化症皮肤镜表现与病理特征的关系分析[J].中国医学创新,2018,15(30):9-13,5.基金项目
东莞市社会科技发展项目(2014108101022) （2014108101022）
