Clinical application of dermatoscope combined with rapid frozen section examination in the treatment of head and facial skin tumors
10.3969/j.issn.1673-9701.2025.13.005
- VernacularTitle:皮肤镜联合快速冰冻切片检查在头面部皮肤肿瘤的应用
- Author:
Xuefeng FU
1
;
Lei ZENG
;
Yuan JIANG
;
Meiyan WANG
;
Bingjing JIANG
;
Yanfei ZHANG
Author Information
1. 浙江大学医学院附属金华医院皮肤科,浙江金华 321000
- Publication Type:Journal Article
- Keywords:
Dermoscopy;
Rapid frozen section;
Pathological diagnosis;
Skin tumor
- From:
China Modern Doctor
2025;63(13):19-22
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the application value of dermatoscope combined with rapid frozen section examination in the treatment of head and facial skin tumors.Methods A retrospective analysis was performed on 123 patients with head and facial skin masses admitted to Affiliated Jinhua Hospital,Zhejiang University School of Medicine from June 2019 to December 2023.Patients were divided into two groups according to their wishes.Patients in group A underwent preoperative dermoscopy combined with intraoperative rapid frozen section examination,and patients in group B underwent preoperative skin biopsy combined with intraoperative rapid frozen section examination.The diagnostic accuracy of two methods was compared.Results There were 81 patients in group A,including 39 basal cell carcinoma,25 squamous cell carcinoma,8 solar keratosis,5 seborrheic keratosis and 4 verrucous nevus.There were 42 patients in group B,including 25 basal cell carcinoma,13 squamous cell carcinoma and 4 solar keratosis.Both groups of patients successfully completed the operation,postoperative follow-up 6 months no recurrence.The accuracy of dermoscopy in the diagnosis of head and facial skin masses was 91.36％,and the accuracy of skin biopsy was 100％.There was no statistical significance between them(x2=2.407,P=0.121).Conclusion In surgical treatment of head and facial skin tumors,the diagnostic accuracy of preoperative dermoscopy combined with intraoperative rapid frozen section examination is high,and it is worthy of clinical promotion.
