| 摘要: |
| ［摘要］目的 探讨脂溢性角化症的临床特点、组织病理学改变和诊断情况．方法 对近5 a来286例组织病理学诊断为脂溢性角化症患者的临床资料进行回顾性分析．结果 发病者以老年患者居多；男性多于女性；头、面、颈等暴光部位发病者占46.2%；病理分型中以角化型和棘层肥厚型最常见，临床和病理诊断符合152例，临床误诊率36.7%．结论 脂溢性角化症与性别、年龄、日光照射有关，组织病理学检查在其诊断及鉴别诊断中具有重要意义． |
| 关键词: ［关键词］脂溢性角化 临床特点 组织病理 |
| DOI： |
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| 基金项目:［基金项目］国家自然科学基金资助项目（81560238） |
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| Clinical and Pathological Analysis on 286 Cases of Seborrheic Keratosis |
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ZHU Wei
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（Dept. of Dermatology，Yan’an Hospital，Kunming Medical University，Kunming Yunnan 650051，China）
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| Abstract: |
| ［Abstract］Objective To explore the clinical and histopathological characteristics and the diagnostic status of seborrheic keratosis（SK）. Methods The clinical and pathological data of 286 cases were analyzed retrospectively. Results Among the 286 patients， the elderly patients accounted for the majority and more males were diagnosed with SK than females. The lesions were found among 46.2% of patients in the exposure sites， such as face and neck. The most frequent types were hyperkeratosis and acanthosis. The clinical diagnosis consisted with pathologic diagnosis in 152 cases. The clinical misdiagnosis rate was 36.7%. Conclusion SK is related to gender， age， and sunlight. Histopathological examination is important in the diagnosis and differential diagnosis of SK. |
| Key words: ［Key words］Seborrheic keratosis Clinical features Histopathology |