皮肤肿瘤的人口学、临床和组织病理学回顾研究

Maylita Sari, Lunardi Bintanjoyo, B. H. Kusumaputra, I. Citrashanty, A. Hidayati, Dwi Murtiastutik, M. Listiawan, C. Prakoeswa
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引用次数: 1

摘要

背景:2007年,皮肤癌是印度尼西亚第三大最常见的恶性肿瘤。然而,在我们的机构皮肤肿瘤的概况还没有研究。目的:评估印度尼西亚泗水Soetomo综合医院皮肤科和性病门诊皮肤肿瘤的概况。方法:采用描述性回顾性研究。纳入标准为新发皮肤肿瘤患者。排除标准为资料不完整。评估2019-2020年病历和照片数据库的人口学、临床特征、组织病理学检查和最终诊断。结果:皮肤科性病科门诊6896例新发患者中皮肤肿瘤379例(5.5%)。总体而言,女性患者较多(53.7%),年龄0-45岁占70.4%。皮肤肿瘤多表现为丘疹(50.4%)、多发(56.5%)、无色素(58.3%)、无症状(62.5%),发病时间为0-24个月(66.2%),部位为头部和面部(61.2%)。良性皮肤肿瘤也有类似的表现。恶性皮肤肿瘤以男性为主、年龄大于45岁、结节性、单发性、色素性和易出血病变为差异。恶性肿瘤较少见(6.9%)。最常见的恶性肿瘤是基底细胞癌。脂溢性角化病是最常见的良性和全身皮肤肿瘤。结论:皮肤肿瘤呈现跨性别、跨年龄、临床表现异质性。恶性和良性皮肤肿瘤在发病时间和病变部位上具有相似性。然而,在人口统计资料和大多数临床特征方面存在差异。BCC是最常见的恶性皮肤肿瘤,脂溢性角化病是最常见的良性和全体性皮肤肿瘤。
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A Retrospective Study of Demographic, Clinical, and Histopathological Profiles of Cutaneous Tumors
Background: In 2007, skin cancers were third most common malignancies in Indonesia. However, profile of cutaneous tumors in our institution has not been studied. Purpose: To evaluate profile of cutaneous tumors in Dermatology and Venerology Outpatient Clinic, Dr. Soetomo General Hospital, Surabaya, Indonesia. Methods: This is a descriptive retrospective study. Inclusion criteria was new cutaneous tumor patients. Exclusion criteria was incomplete data. Medical record and  photograph database from 2019-2020 were assessed for demography, clinical features, histopathological examination and final diagnosis. Results: There were 379 (5,5%) cutaneous tumors among 6896 new patients at Dermatology and Venereology Outpatient Clinic. Overall, there were more female patients (53.7%) and age group of 0-45 years old (70.4%). Cutaneous tumors more commonly presented as papular (50.4%), multiple (56.5%), nonpigmented (58.3%), asymptomatic lesions (62.5%), with time from onset 0-24 months (66.2%) and location on head and face (61.2%). Benign cutaneous tumors showed similar findings. Malignant cutaneous tumors showed differences including predominantly male sex, age above 45 years old, nodular, solitary, pigmented and easily bleeding lesions. Malignant tumors were less common (6.9%). Most common malignant tumor was BCC. Most common benign and overall cutaneous tumor was seborrheic keratosis. Conclusion: Cutaneous  tumors presented across gender and ages, showing heterogenous clinical manifestations. Malignant and benign cutaneous tumors showed similarity on time from onset and location of lesions. However, differences were seen in demographic profiles and majority of clinical features. BCC was the most common malignant cutaneous tumors, while seborrheic keratosis was the most common benign and overall cutaneous tumors.
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