一、分類
A. 表淺擴散型(superficial spreading melanoma):
a. 大約占70%
b. 常見於外國人,特別容易出現在曬太陽的部位
c. 應盡早切除
B. 結節型(Nodular melanoma):
a. 大約占15%
b. 大多垂直生長
c. 容易被誤認為腫瘤,切掉後才發現是黑色素瘤
C. 肢端痣樣型(Acral lentiginous melanoma):
a. 大約占8%
b. 皮膚黑一點的比較常見,是台灣人最常見的一種
c. 出現在沒有曬太陽的部位,例如:腳趾縫、腳底、背部等等。
d. 通常不痛不癢易被忽略
D. 惡性痣型(Lentigo maligna melanoma):
a. 常發生在老年人
b. 大型表淺擴散的黑色素瘤(放射狀生長)
資料來源:高雄榮民總醫院
二、檢驗
s100:非專一性(non-specific),用來篩檢黑色素瘤,也可染神經物質的腫瘤
HMB45:專一性(specific),也可染淋巴腺轉移
melan A:專一性(specific)
▼表皮(epidermis)
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標籤:
表皮(epidermis)
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