一个20年的错误诊断:一个基本细胞癌的罕见呈现
Dinithi Liyanage1, Richard Clough2, Deepa Pandit2
1Lancaster University, Bailrigg, Lancaster, LA1 4YW, United Kingdom.
Journal of surgical case reports
|February 19, 2024
概括
基本细胞癌 (BCC) 是一种常见的皮肤癌,很少发生在脚底. 这份病例报告强调了一名患有持续足部病变的患者的BCC诊断,强调需要进行临床考虑.
科学领域:
- 皮肤病学 皮肤病学
- 在瘤学瘤学.
- 手术病理学手术病理学
背景情况:
- 基底细胞癌 (BCC) 是最常见的皮肤癌类型.
- BCC通常发生在暴露于阳光的区域,紫外线辐射是主要的危险因素.
- 由于紫外线暴露的最小程度,脚底上的病变很少与BCC有关.
研究的目的:
- 提交关于足底基底细胞癌的病例报告.
- 审查有关脚上的BCC的文献.
- 强调在持续的足部病变中考虑BCC的重要性.
主要方法:
- 关于足部BCC的文献评论.
- 一个42岁的女性病例报告,有20年的足部损伤病史.
- 诊断程序,包括组织活检用于组织病理学检查.
主要成果:
- 组织病理学诊断证实了病变是基底细胞癌.
- 患者在经过三次手术后实现了无疾病控制.
- 由于缺陷的诊断,切除和重建,经历了显著的患者发病率.
结论:
- 基底细胞癌可以发生在脚底,尽管它很罕见.
- 临床医生应将BCC纳入不解决的脚病变的差异诊断.
- 持续的足部病变对初始治疗没有反应,因此需要对BCC进行彻底评估.
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