Dermoscopic Features of Onychomatricoma: A Study of 34 Cases
Dermoscopic Features of Onychomatricoma: A Study of 34 Cases
复制标题
DOI：
10.1159/000431315
复制
发表时间：
2015-01-01
期刊：
影响因子：
3.4
通讯作者：
Thomas, Luc
中科院分区：
文献类型：
--
作者：
Lesort, Cecile;Debarbieux, Sebastien;Thomas, Luc
背景：甲母瘤是一种指甲基质的良性肿瘤，具有精确的组织病理学定义，但有许多不同的临床特征和鉴别诊断。目的：甲母瘤的诊断基于手术标本的病理检查。本研究的目的是使用非侵入性检查（观察和皮肤镜检查）来定义术前诊断标准。方法：对34例甲母瘤病例进行研究。具体而言，6 名观察员评估了 12 项临床标准和 12 项皮肤镜标准是否存在。结果：对于临床标准，最高平均值是白甲（3.21）、碎片出血（3.45）和板增厚（3.0）。皮肤镜标准更常见，例如纵向平行白线（4.33）、平行病变边缘（4.61）、碎片出血（4.48）、黑点（3.96）、游离边缘指甲凹陷（4.5）和游离边缘增厚（5.27）。结论：甲母瘤的皮肤镜检查标准更常见，并且较少受到不同的解释。这提供了新的、原创的术前可靠诊断标准，应用于指甲肿瘤的评估。 (C) 2015 S. Karger AG，巴塞尔
Background: Onychomatricoma is a benign tumor of the nail matrix with a precise histopathological definition but many different clinical features and differential diagnoses. Objectives:The diagnosis of onychomatricoma is based on the pathological examination of a surgical specimen. The objective of this study was to define preoperative diagnostic criteria using noninvasive investigations: observation and dermoscopy. Methods: A total of 34 cases of onychomatricoma were studied. In detail, 6 observers evaluated 12 clinical and 12 dermoscopical criteria as present or absent. Results: For clinical criteria, the highest mean values were leuconychia (3.21), splinter hemorrhages (3.45), and thickening of the plate (3.0). Dermoscopical criteria were more often found present, such as longitudinal parallel white lines (4.33), parallel lesion edges (4.61), splinter hemorrhages (4.48), dark dots (3.96), free-edge nail pitting (4.5), and thickening of the free edge (5.27). Conclusion: Dermoscopical criteria for onychomatricoma are more frequently present and less subject to divergent interpretation. This offers new and original preoperative reliable diagnostic criteria and should be used in the evaluation of nail tumors. (C) 2015 S. Karger AG, Basel