Dermoscopy of accessory nipples in authors' own study.

Dermoscopy of accessory nipples in authors' own study.
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DOI:
10.5114/pdia.2014.43189
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发表时间:
2014-06
影响因子:
1.4
通讯作者:
Silny W
Silny W
中科院分区:
医学4区
文献类型:
--
作者:
Kamińska-Winciorek G;Szymszal J;Silny W

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副乳头 (AN) 的特点是其网络状结构,这可能提示黑素细胞病变的诊断。了解 AN 的其他皮肤镜特征可能会大大降低不必要的手术切除的风险。分析和呈现 AN 可能出现的不同临床和皮肤镜形式。该研究评估了 90 名具有皮肤镜特征的 AN,在 2008 年至 2014 年期间在 14 名患者中检测到。AN 最常见的皮肤镜特征是中央疤痕状区域 (15/19) 和周围网状结构 (12/19)。还观察到许多裂缝状外观(8/19)和中心网络状结构(7/19)。此外,在皮肤镜特征中,还注意到白色鹅卵石状结构(7/19)、带有塞子的中央圆形凹痕(6/19)和类似粉刺状开口的鱼眼状结构(9/19)。具有中心网络状结构的白色鹅卵石状结构的出现具有统计显着性(Fisher 精确检验 p = 0.0449)。周围网络状结构的存在以及中央疤痕状区域的出现具有统计学上的高度显着性(p = 0.0091)。在任何病变中,从未在任何中央网络状结构旁边观察到中央圆形凹陷(p = 0.0436)。副乳头最常见的特征是出现周围网络状结构,并伴有疤痕状区域。
The accessory nipple (AN) is characterised by its network-like structures, which may suggest the diagnosis of a melanocytic lesion. The knowledge about additional dermoscopic features of AN may greatly minimise the risk of unnecessary surgical excisions. To analyse and present different clinical and dermoscopic forms, in which the AN may appear. Ninety AN with dermoscopic features were evaluated in the study, detected in 14 patients between the years 2008 and 2014. The most common dermoscopic features of the AN were central, scar-like areas (15/19) and peripheral network-like structures (12/19). A number of cleft-like appearances (8/19) and central network-like structures (7/19) had also been observed. Moreover, among the dermoscopic features, white cobblestone-like structures (7/19), a central round dimpling with a plug (6/19) and fisheye-like structures resembling comedo-like openings (9/19) have all also been noted. There is a statistical significance in the occurrence of white cobblestone-like structures with central network-like structures (Fisher's exact test p = 0.0449). The presence of peripheral network-like structures with the occurrence of central scar-like areas was statistically highly significant (p = 0.0091). The central round dimpling was never observed alongside any central network-like structures in any of the lesions (p = 0.0436). Accessory nipples are most commonly characterised by the occurrence of a peripheral network-like structure accompanied by the presence of a scar-like area.
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