皮肤与软组织疾病法语模板.ppt

Verruca Vulgaris Verrucae vulgaris寻常疣 are viral warts病毒疣 associated with human papillomavirus乳头状病毒. They most commonly occur on the digits指端 as hyperkeratotic角化过 lesions. They may also occur in the nail bed甲床 region. They may be treated by topical chemicals局部用药, oral cimetidine西米替叮, and duct tape but are most effectively treated by curettage刮除术. They may occur especially in immunocompromised免疫抑制 patients such as after transplantations. In such patients, they may be at multiple digital sites. Recurrence is relatively common. Skin cancer皮肤癌 The most common skin cancers are basal cell cancer基底细胞癌, squamous cell cance鳞癌, and melanoma黑色素瘤. Skin cancer generally develops in the epidermis (the outermost layer of skin), so a tumor is usually clearly visible. This makes most skin cancers detectable in the early stages. 基底细胞癌 Signs and symptoms 局部形成溃疡为主要表现 质地硬，表面呈蜡状，破溃者呈鼠咬状边缘 老年人 好发于颜面部及颈部 很少有血运或淋巴道转移 Basal Cell Carcinoma基底细胞癌 Figure 30-15? Nodular basal cell carcinoma. Basal Cell Carcinoma Figure 30-16? Basal cell carcinoma simulating the appearance of psoriasis Figure 30-13? Multiple squamous cell carcinomas on the upper extremity of a patient 11 years after kidney transplantation Squamous Cell Carcinoma Squamous Cell Carcinoma 鳞状细胞癌 Figure 30-14? Squamous cell carcinoma appearing as areas of thickened, red, scaling skin. Signs and symptoms 鳞状细胞癌 具有感染征象局部肿物 成年男性 头颈、阴茎、四肢等暴露部位 表面隆起不规则 易出血感染致恶臭 可有区域淋巴结转移. Signs and symptoms 黑色素瘤——高度恶性肿瘤 Most melanomas are brown to black looking lesions. Signs that might indicate a malignant melanoma include change in size, shape, color or elevation of a mole. Other signs are the appearance of a new mole during adulthood or new pain, itching瘙痒, ulceration or bleeding Melanome 黑色素瘤 Treatment Options for Squamous ,Basal Cell Carcinoma and Melanoma 治疗 基底细胞癌：放疗敏感 鳞状细胞癌：手术为主，周围2CM正常组织 黑色素瘤：大块切除及区域淋巴结清扫 The tendon sheath coverings of the second, third, and fourth digits do not communicate with either the radial or