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皮肤鳞状细胞癌

最后审阅: 10 Nov 2024
最后更新: 09 Aug 2022

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 肿瘤不断生长
完整详情

其他诊断因素

  • 既往皮肤癌病史
  • 出血
  • 结痂皮
  • 皮肤日光损伤的证据
  • 创伤所致迁延不愈的柔嫩或瘙痒性伤口
  • 红斑样丘疹或斑块
  • 肉色或红斑样薄斑块
  • 圆顶状结节
  • 外生性、真菌样生长、疣状结节或斑块
  • 溃疡性肿瘤
  • 淋巴结肿大
  • 骨痛
  • 肝肿大
  • 神经系统体征
完整详情

危险因素

  • 紫外线辐照暴露
  • 实体器官移植受者
  • 免疫抑制
  • Fitzpatrick 皮肤分型
  • 遗传皮肤病
  • 老年
  • 男性
  • 电离辐射
  • 致癌因素
  • 光化性角化病
  • 既往皮肤癌病史
  • 人乳头瘤病毒
  • 吸烟
  • 噻嗪利尿剂和心血管药物。
  • 纹身
完整详情

诊断性检查

首要检查

  • 活检
完整详情

需考虑的检查

  • CT扫描
  • MRI扫描
  • PET 扫描
  • 全血细胞计数 (FBC) 和分类计数
  • 肝功能检查 (LFT)
  • 胸部 X 线检查
完整详情

新兴检查

  • 无创成像技术

治疗流程

急症处理

原位鳞状细胞癌(鲍恩病)

侵袭性鳞状细胞癌

转移性鳞状细胞癌

持续性治疗

免疫抑制或高风险转移癌

撰稿人

作者

Keyoumars Soltani, MD
Keyoumars Soltani

Professor

Department of Medicine

Director of Immunopathology

Laboratory Section of Dermatology

The University of Chicago

Chicago

IL

利益声明

KS declares that he has no competing interests.

Adaobi Nwaneshiudu Obasi, MD, PhD, FAAD
Adaobi Nwaneshiudu Obasi

Medical Director, Dermatologist, and Dermatopathologist

Cutis Wellness Dermatology & Dermatopathology, PLLC

Preceptor

University of the Incarnate Word

Department of Family Medicine

Laredo

TX

利益声明

ANO has received honorarium for lectures at 2020 Cynosure and PCCA meetings.

鸣谢

Prof K. Soltani and Dr A. I. Nwaneshiudu would like to gratefully acknowledge Dr Carlos Paz and Dr Jessica M. Sheehan, the previous co-contributors to this topic.

利益声明

CP and JMS declare that they have no competing interests.

同行评议者

Nanette Silverberg, MD

Clinical Professor of Dermatology

Columbia University College of Physicians and Surgeons

New York City

NY

利益声明

NS declares that she has no competing interests.

Iris Aronson, MD

Associate Head

Associate Professor

Department of Dermatology

University of Illinois

Chicago

IL

利益声明

IA declares that she has no competing interests.

Keyvan Nouri, MD

Professor of Dermatology & Otolaryngology

Director of Mohs, Dermatologic & Laser Surgery

Director of Surgical Training

Department of Dermatology & Cutaneous Surgery

University of Miami

Miami

FL

利益声明

KN declares that he has no competing interests.

Jane McGregor, MA, MB, BChir, MRCP, MD

Senior Lecturer and Honorary Consultant Dermatologist (Barts and the London NHS Trust)

Institute of Cellular and Molecular Science

London

UK

利益声明

JMG declares that she has no competing interests.

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