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目的 探讨皮肤转移癌发生规律 ,以利正确诊断。方法 收集、复习和分析 10 8例皮肤转移癌病例的临床和病理学资料。结果 10 8例中男 6 5例 ,女 4 3例。发病年龄平均 4 9 8岁。发生部位依次为腹部、胸部、肩背部、腰臀部、头颈部、四肢、会阴、外阴及全身。患者出现皮肤肿块到就诊的时间平均为 3 5个月 ;皮肤转移癌出现在原发瘤诊断后平均 16 2个月 ;肿瘤最大直径以 2～ 5cm常见。常见原发癌部位男性为肺、大肠、胃、原发部位不明和食道 ;女性中依次为乳腺、大肠、卵巢、肺和原发部位不明。结论 与癌发病率一致 ,高发癌出现皮肤转移率高 ;皮肤转移癌出现在原发癌附近皮肤处较多 ;有癌症史患者出现皮肤结节应怀疑皮肤转移癌的可能
Objective To investigate the regularity of skin metastasis and facilitate the correct diagnosis. Methods The clinical and pathological data of 108 cases of skin metastatic carcinoma were collected, reviewed and analyzed. Results There were 65 males and 43 females in 108 cases. The average age of onset was 498 years old. Occur in abdominal, chest, shoulder and back, waist and hip, head and neck, limbs, perineum, vulva and whole body. Patients with skin lumps to the treatment of an average of 3 5 months; skin metastases in the primary tumor after an average of 16 2 months; the largest tumor diameter of 2 ~ 5cm common. Common primary cancer sites for men and lungs, colon, stomach, primary site unknown and esophagus; women followed by breast, colon, ovary, lung and primary site unknown. Conclusions The same with the incidence of cancer, high incidence of skin metastasis of high incidence of cancer; skin metastases appear in the skin near the primary cancer more; there is a history of cancer in patients with skin nodules should suspect the possibility of skin metastasis