Clinical value of high frequency ultrasound combined with dermoscopy in preoperative evaluation of cutaneous malignant tumors
10.3969/j.issn.1673-9701.2025.04.008
- VernacularTitle:高频超声联合皮肤镜在皮肤恶性肿瘤术前评估中的临床价值
- Author:
Lei ZENG
1
;
Yuping CAO
;
Meiyan WANG
;
Shanshan LIU
;
Yulian WU
;
Yuan FU
Author Information
1. 金华市中心医院皮肤性病科,浙江金华 321000
- Publication Type:Journal Article
- Keywords:
High frequency ultrasound;
Dermoscopy;
Cutaneous malignant tumors
- From:
China Modern Doctor
2025;63(4):32-35
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical value of high frequency ultrasound combined with dermoscopy in preoperative evaluation of cutaneous malignant tumors.Methods A total of 323 patients with suspected cutaneous malignant tumors were selected from Jinhua Municipal Central Hospital from January 2022 to December 2023.The clinical value of high frequency ultrasound,dermoscopy and their combined examination in preoperative diagnosis of cutaneous malignant tumors were analyzed and compared.Results A total of 323 patients with suspected cutaneous malignant tumors,223 patients with confirmed cutaneous malignant tumors by skin pathology,234 skin lesions,and 100 patients with benign skin tumors were included.141 skin lesions were detected by dermoscopy,195 skin lesions by high frequency ultrasound,and 213 skin lesions by the combination of dermoscopy and high frequency ultrasound.The sensitivity,specificity and accuracy of high frequency ultrasound combined with dermoscopy in diagnosis of cutaneous malignant tumors were 87.6％,92.0％and 88.9％,respectively,which was higher than that of single high frequency ultrasound and single dermoscopy.The diagnosis results of dermoscopy combined with high frequency ultrasound were in good agreement with the pathological results(kappa=0.75).Conclusion Dermoscopy and high frequency ultrasound are convenient,non-invasive and sensitive imaging methods for skin detection.They can balance resolution and depth of detection,reveal morphological information of tumors,and predict the risk of tumor recurrence.
