【摘要】 目的探讨青海高原地区皮肤恶性肿瘤的临床特征。方法采用回顾性分析方法对笔者科室2010年-2014年诊治的122例经组织病理确诊的皮肤恶性肿瘤患者临床资料进行分析。结果纳入的122例皮肤恶性肿瘤患者,病变发生于头面部65例(53.28%),基底细胞癌(BCC)、鳞状细胞癌(SCC)及鲍恩病(Bowen)多见,分别占皮肤恶性肿瘤总数的50.82%,18.89%及12.30%。其中小于30岁者占2.46%,30~40岁者占4.10%,40~50岁者占13.93%,50~60岁者占33.61%,60岁以上者占45.90%。黑素瘤及Bowen病临床诊断及病理诊断符合率分别为90.91%及86.67%,BCC及SCC符合率均低于80.00%。结论青海地区头面部皮肤恶性肿瘤多于其他部位皮肤恶性肿瘤(P<0.05),老年人多发,紫外线照射是重要因素。黑素瘤在皮肤恶性肿瘤中占较高的比例,应引起临床医师重视。更多还原

【Abstract】 Objective To analysis the clinical characteristics of skin malignant tumor in Qinghai plateau. Methods The clinical data of 122 cases of skin malignant tumors diagnosed by histopathology from 2010 to 2014 were analyzed retrospectively. Results Sixty-five cases( 53. 28%) took place in face and scalp,the most common skin cancer were basal cell carcinoma,squamous cell carcinoma and Bowen’s disease,which accounted for 50. 82%,18. 85% and 12. 30% respectively. 45. 90% of patients were over 60 years old. The counterpart between 50 and 60 years old,40 and 50 years,was 33. 61% and 13. 93% respectively. 2. 46%of patients were younger than 30 years old. The concordance between clinical and pathological diagnosis reached to respectively 90. 91% and 86. 67% for cutaneous malignant melanoma and Bowen’s disease,while basal cell carcinoma and squamous cell carcinoma were lower than 80. 00%. Conclusion Skin cancer have apredilection for scalp and face. Patients older than 60 years account for a significant proportion in Qinghai plateau and ultraviolet plan an important role. Cutaneous malignant melanoma had higher proportion,which would be pay more attention.更多还原