ʻO nā hōʻike mua o ka maʻi e hele pinepine ʻole ʻia. ʻO ka hapa nui o ili maʻi 'aʻai mai hana i ka ʻeha, ka ʻili a me ke koko.

ʻO nā hale kaleka ʻona

Loaʻa ka 70 a hiki i ka 80% o nā carcinomas basal cell ma ka maka a me ka ʻāʻī a ma kahi o 30% ma ka ihu, ʻo ia ka wahi maʻamau; ʻO nā wahi pinepine ʻē aʻe ʻo nā papalina, ka lae, ka ʻaoʻao o nā maka, ʻo ia hoʻi ma ka ʻaoʻao o loko.

Hōʻike ʻia ia e kekahi o nā hōʻailona aʻe:

• he ʻiʻo ʻulaʻula a ʻulaʻula, waxy a i ʻole "pearly" puʻupuʻu ma ka maka, nā pepeiao, a i ʻole ka ʻāʻī;
• he ʻōniʻoniʻo, ʻāʻī ma ka umauma a i ʻole ke kua;
• he ma'i ma'i ola ole.

ʻEhā mau ʻano lapaʻau nui o ka maʻi maʻi maʻi maʻi basal:

- Ka maʻi maʻi maʻi maʻi pāpaʻa basal a i ʻole me ka palena momi

ʻO ia ke ʻano maʻamau, e hana ana i kahi poʻe a i ʻole oval plaque, e hoʻonui mālie i ka nui i nā mahina a i ʻole mau makahiki, ʻike ʻia e ka palena momi (nā momi carcinomatous nā ulu liʻiliʻi o hoʻokahi a he mau millimeters ke anawaena, paʻa, translucent, hoʻokomo ʻia i loko. ʻo ka ʻili, he ʻano like me nā momi moʻomeheu, me nā ipu liʻiliʻi.

– Nodular basal cell carcinoma

Hoʻokumu ʻia kēia ʻano maʻamau i kahi piʻi translucent o ka paʻa paʻa, waxy a ʻulaʻula keʻokeʻo me nā ipu liʻiliʻi, e like me nā momi i hōʻike ʻia ma luna. Ke ulu lākou a ʻoi aku ma mua o 3-4 mm ke anawaena, he mea maʻamau ka ʻike ʻana i kahi puʻuwai i waenakonu, e hāʻawi iā lākou i ke ʻano o kahi lua pele make me kahi palena translucent a puʻu. He palupalu a maʻalahi ke koko.

- Ka maʻi maʻi maʻi kino basal

ʻO ia wale nō ka maʻi maʻi maʻi basal cell maʻamau ma ke kumu (e pili ana i ka hapalua o nā hihia) a me nā lālā. He ʻulaʻula a ʻulaʻula paha ia o ka hoʻonui lohi a mālie.

- Basal cell carcinoma scleroderma

He mea kakaikahi loa kēia maʻi maʻi maʻi maʻi basal no ka mea he 2% wale nō o nā hihia, hana i kahi papa melemele-keʻokeʻo, waxy, paʻakikī, a paʻakikī ke wehewehe ʻana i nā palena. ʻO kona hoʻi pinepine ʻana no ka mea ʻaʻole ia he mea maʻamau ka lawa ʻole o ka ablation i hāʻawi ʻia i nā palena paʻakikī e wehewehe: ʻo ka dermatologist a i ʻole ke kauka lapaʻau e wehe i kāna mea i ʻike ai a waiho pinepine ʻia kekahi ma ka ʻaoʻao o ka wahi i hana ʻia.

Aneane hiki i nā ʻano like ʻole a pau o ka maʻi maʻi maʻi maʻi basal cell ke lawe i kahi ʻano puaʻa (ʻeleʻele-ʻeleʻele) a me ka ulcerate ke hoʻomohala ʻia. He maʻalahi lākou i ka hemorrhagic a hiki ke hoʻomaka i ka ʻoki ʻana ma o ka luku ʻana i ka ʻili a me nā ʻiʻo subcutaneous (cartilage, iwi…).

ʻO ka memicoma pūmaʻi maʻamau

Hōʻike ʻia ia e kekahi o nā hōʻailona aʻe:

• he ʻulaʻula a keʻokeʻo, ʻeleʻele a maloʻo paha o ka ʻili;
• he ʻulaʻula a keʻokeʻo paha, paʻa, warty nodule;
• he ma'i ma'i ola ole.

Hoʻoulu pinepine ʻia ka maʻi maʻi maʻi squamous cell ma actinic keratosis, kahi liʻiliʻi liʻiliʻi ʻeleʻele i ka hoʻopā ʻana, he mau millimeters ke anawaena, ʻulaʻula a ʻeleʻele paha. ʻO nā keratoses Actinic ka mea pinepine ma nā wahi i ʻike ʻia i ka lā (convexities o ka maka, ke poʻo o nā kāne me ka ʻōhule, ke kua o nā lima, nā lima, a me nā mea ʻē aʻe). Loaʻa i ka poʻe me nā keratoses actinic he 10% ka nui o ka hoʻomohala ʻana i ka carcinoma cell squamous cell invasive i ko lākou ola ʻana. ʻO nā hōʻailona e alakaʻi ai i kekahi e kānalua i ka hoʻololi ʻana o ke keratosis actinic i loko o ka maʻi maʻi squamous cell carcinoma ʻo ia ka laha wikiwiki o ka keratosis a me kona komo ʻana (e ʻoi aku ka pehu o ka plaque a komo i loko o ka ʻili, e nalowale ana kona ʻano palupalu a lilo i paʻakikī). A laila, hiki iā ia ke ʻeha a i ʻole ka maʻi maʻi a me ka ʻōpuʻu. ʻO kēia ka hopena i kahi maʻi maʻi maʻi maʻi maʻi ulcerative squamous cell maoli, e hana ana i kahi ʻōpū paʻakikī me ka ʻili ʻole, ʻōpuʻu a ʻulaʻula.

E haʻi kākou i ʻelua mau ʻano lapaʻau kūikawā o ka maʻi maʻi maʻi squamous cell:

– ʻO ka maʻi maʻi maʻi maʻi intraepidermal o Bowen: he ʻano kēia o ka maʻi maʻi maʻi ʻaʻai i kaupalena ʻia i ka epidermis, ka papa papa o ka ʻili a no laila me ka liʻiliʻi o ka hiki ke loaʻa i nā metastases (ʻo nā moku e hiki ai ke neʻe i nā maʻi kanesa aia i loko o ka dermis, ma lalo o ka epidermis. ʻO ka pinepine ma ke ʻano o ka ʻulaʻula, ʻulaʻula o ka ulu ʻana o ka lohi, a he mea maʻamau ia ma nā wāwae.

– ʻO Keratoacanthoma: he maʻi maʻi e ʻike koke ʻia, pinepine ma ka maka a me ka piko o ke kumu, e loaʻa ai kahi ʻāpana "matomato": ʻāpana horny waena me ka rim keʻokeʻo ʻulaʻula me nā moku.

Melanoma

Hōʻike ʻia ia e kekahi a i ʻole nā ​​​​hōʻailona ʻē aʻe.

• he mole e hoʻololi i ka waihoʻoluʻu a i ʻole ka nui, a i ʻole ke ʻano ʻokoʻa;
• he mole e kahe ana a i ʻole he mau wahi ʻulaʻula, keʻokeʻo, uliuli, a ʻeleʻele paha;
• he ʻeleʻele ʻeleʻele ma ka ʻili a i ʻole ma kahi mucous membrane (e laʻa, nā mucous membrane o ka ihu a i ʻole ka waha).

hoʻopuka. Hiki ke loaʻa ka melanoma ma kahi o ke kino. Eia naʻe, loaʻa pinepine ma ke kua i nā kāne, a ma ka wāwae hoʻokahi i nā wahine.