皮肤镜在光线性角化病诊断中的研究进展

[摘要]光线性角化病是一种发生于皮肤的癌前病变。由于其有发展为鳞癌的潜在可能，对该病及时、正确的诊断显得尤为重要。目前皮肤活检仍为诊断光线性角化病的金标准。然而，越来越多的研究表明皮肤镜在光线性角化病的诊断中具有优势。本文对皮肤镜在光线性角化病诊断中的应用进行综述。

[关键词]光线性角化病；皮肤镜；诊断；鉴别诊断；皮肤鳞状细胞癌

[中图分类号]R758.4    [文献标志码]A    [文章编号]1008-6455（2023）10-0192-03

Research Progress of Dermoscopy in the Diagnosis of Actinic Keratosis

JIA Leiqiang1，LIU Hongye2，GUO Shuping2

（1.Shanxi Medical University，Taiyuan 030001，Shanxi，China; 2.Department of Dermatology，the First Hospital of Shanxi Medical University，Taiyuan 030001，Shanxi，China）

Abstract： Actinic keratosis（AK） is a kind of precancerous lesion. Considered to be the continuum of cutaneous squamous cell carcinoma（cSCC）， it is important to get a correct and timely diagnosis for AK. At present， skin biopsy is still the gold standard for the diagnosis of AK. However， more and more studies have shown advantages of dermoscopy in the diagnosis of AK. This article reviews the applications of dermoscopy in the diagnosis of AK.

Key words： actinic keratosis; dermoscopy; diagnosis; differential diagnosis; cutaneous squamous cell carcinoma

光线性角化病（Actinic keratosis，AK）是一种皮肤癌前病变，60%～80%的皮肤鳞状细胞癌（Cutaneous squamous cell carcinoma，CSCC）由AK进展而来[1]，因此及时正确地诊断AK很重要。（剩余7478字）