피부악성종양의 임상적 관찰 = A Clinical Study on Cutaneous Malignant Tumors

국문 초록 (Abstract)

피부의 악성종양은 내부장기의 악성종양과는 달리 눈으로 직접 볼 수 있으므로 조기 발견이 비교적 쉽고 적절한 치료로 예후가 양호하나 일반적으로 타 장기암에 비해 관심이 소홀하여 치료시기를 놓치는 경우가 많다. 유색인종의 피부암 발생빈도는 일반적으로 백인종에 비해 낮으나 우리나라도 생활수준의 향상과 급속한 산업화로 인한 생활환경의 변화에 따라 각종 유해물질에 노출되는 기회가 많아지고 또 피부암에 대한 일반인의 인식도 점차 높아지고 있으므로, 다른 악성종양과 마찬가지로 피부암도 조기발견하여 치료할 수 있는 예가 많아지리라고 생각된다. 저자들은 최근 약 10년간의 피부악성종양에 대하여 임상적으로 관찰하여 보고한다.

다국어 초록 (Multilingual Abstract)

From January 1981 to May 1990 the authors clinically observed 72 cases of cutaneous malignant tumors that visited the Department of Dermatology at Inje University Paik Hospital, Pusan.
The results obtained were summarized as fellow:
1) The Incidence of cutaneous malignant tumors versus the total number of new outpatient visiting the Department of Dermatology was 0.23%.
2) There were 39 men(54.9%) and 32 women(45.1%) in this series.
3) The average age of patients was 61.1 years with the peak incidence in the 60-69 years group(29.6%).
4) Among the 72 cases of cutaneous malignant tumors, the most frequently observed tumor was basal cell carcinoma, 34 cases(47.2%). The next frequent tumor was squamous cell carcinoma, 31 cases(43.0%).
5) The predilection sites of the basal cell carcinoma cases were the nose(20.6%), cheek(20.6%) and forehead(17.7%). Those of the squamous cell carcinoma cases were the lower lip(25.8%) and cheek(12.5%)
6) The authors observed 5 cases of precancerous state including 2 cases of Bowen's disease, 1 case of burn scar, xeroderma pigmentosum and epidermodysplasia verruciformis, respectively.
7) The most frequent clinical type of basal cell carcinoma was noduloulcerative(58.9%) and the next was pigmented(35.8%).
8) Five cases of tumors showed metastasis at the time of diagnosis. Four cases of squamous cell carcinoma were metastasized into the regional lymph nodes.
9) Treatments were used on the 34 of the observed cases. In the 23 cases(basal cell carcinoma 16 cases, squamous cell carcinoma 7 cases), excision and skin graft were performed.

목차 (Table of Contents)

• Ⅰ.머리말
• Ⅱ.재료 및 방법
• Ⅲ.결과
• 1.연도별 분포
• 2.연령 및 성별분포
• 3.종양 종류별 발생빈도
• 4.이환기간
• 5.발생부위별 분포
• 6.암전구증
• 7.임상적 유형
• 8.전이상태
• 9.치료
• Ⅳ.고찰
• Ⅴ.맺는말