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臺灣皮膚科醫學會 2013 年皮膚鏡訓練課程 2013 Dermoscope Training Course 目錄

、 課程表 ----------------------------------------------------------------------------------------

1

、 張英睿院長簡歷 -----------------------------------------------------------------------

3

、 Review of Local Features and Diagnostic Algorithms of Dermoscopy -------------------------------------------------------------------------------

4

、 The Application of Dermoscopy in Daily Practice -----------------------

23

、 胡楚松醫師簡歷 ----------------------------------------------------------------------

37

、 Dermoscopy of Vascular Tumors ------------------------------------------------

38

、 Dermoscopic Vascular Structures in Skin Tumors -----------------------

38

、 楊志勛主任簡歷 -----------------------------------------------------------------------

89

、 Dermoscopy of Pigmented Skin Tumors -----------------------

90

、 邱成湦醫師簡歷 -----------------------------------------------------------------------

121

十一

、 Dermoscopy in Common Hair Diseases ------------------------------

122


臺灣皮膚科醫學會 2013 年皮膚鏡訓練課程 2013 Dermoscope Training Course 上課日期:2013 年 10 月 13 日(星期日)上午 08:00-12:00 上課地點:台大醫學院三樓 302 講堂(100 台北市仁愛路一段一號)

Agenda Time 8:00-9:00

Item

Speaker

Registration 臺灣皮膚科醫學會 楊志勛理事長

08:25-08:30 Opening Remarks Review of Local Features and Diagnostic Algorithms of Dermoscopy (20 min) 08:30-09:10 The Application of Dermoscopy in Daily Practice (20 min) 09:10-09:50

Dermoscopy of Vascular Tumors Dermoscopic Vascular Structures in Skin Tumors

09:50-10:40 Dermoscopy of Pigmented Skin Tumors

張英睿皮膚專科診所 張英睿院長 高雄醫學大學附設醫院 胡楚松醫師 長庚紀念醫院 楊志勛主任

10:40-10:50 Coffee Break 10:50-11:40

Dermoscopy in Common Hair Diseases 皮膚鏡在毛髮疾病上的應用

11:40-12:00 Self-Exam. – Quiz

邱成湦皮膚專科診所 邱成湦醫師 All Speakers

Self-Exam. – Panel Discussion 主辦單位:臺灣皮膚科醫學會 協辦單位:台灣海峽兩岸皮膚醫學暨醫學美容交流學會

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All speakers


張英睿

現職: 張英睿皮膚專科診所院長 亞東紀念醫院皮膚科兼任主治醫師 台灣海峽兩岸皮膚醫學暨醫學美容交流學會理事長 臺灣皮膚科醫學會理事 臺灣皮膚科醫學會兩岸事務委員會主任委員 中華民國醫用雷射光電學會理事 中華皮膚科醫學雜誌 (Dermatologica Sinica) (SCIE) 編輯委員 臨床皮膚科雜誌(江蘇) (Journal of Clinical Dermatology) 編輯委員 教育部定助理教授 學經歷 高雄醫學大學醫學士 臺北醫學大學醫學資訊研究所碩士,醫學科學研究所博士 臺北馬偕紀念醫院皮膚科住院醫師、主治醫師 日本東京國立癌症中心中央病院客員研究員 日本東京虎之門病院皮膚外科客員研究員 亞東紀念醫院皮膚科主任兼醫學美容中心主任 臺北醫學大學市立萬芳醫院皮膚雷射美容中心主任 亞洲皮膚科醫學會院士(Fellow of Asian Academy of Dermatology and Venereology) 美國皮膚科醫學會(AAD)會員 國際皮膚科學會(ISD)會員 國際皮膚鏡學會(ISD)會員

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• Melanin pigment : – Horny layers of the epidermis: black – Lower epidermal layers: light to dark brown depending on its concentration. – Papillary dermis: gray – Reticular dermis: blue

• Hemoglobin: – Red, dark red

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• Hypopigmentation • Blotches • Vascular patterns

• Pigment network • Dots/Globules • Streaks/Radial streaming • Blue-whitish veil • Regression structures

Pigment Networks • Definition: – Network of brownish lines over a background tan

• Histologic correlation

Junctional nevus

– Pigmented rete ridges (increased melanocytes or nests in epidermis area)

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Globules • Definition:

Dots • Definition:

– Round, oval or spherical bodies (>0.1mm)

– Small, punctate and black structures (<0.1mm)

• Histologic correlation: – Nests of pigmented melanocytes at the DEJ and/or in the papillary dermis; or clusters of melanophages in the papillary dermis – Milky-red globules: well vasculized nets of cell

• Histologic correlation: – Focal collections of melanin in the stratum corneum

Compound nevus

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• Definition: – Linear, brown to black streaks radiating from the border of the lesions

• Histologic correlation: – Radially arranged pigmented nests

Dysplastic nevus

Spitz nevus -7-


• Definition: – Areas of relatively lighter pigmentation – Focal, regular multifocal, irregular multifocal

• Histologic correlation: – Reduced amount of melanin, area around eccrine gland

Eccrine opening

Decreased melanin

Fibrosis -8-


• Definition: – Circumscribed zones that have a gray and/or blue hue

• Histologic correlation: – Fibrosis and pigmented melanophages or melanocytes in a thickened papillary or reticular dermis

• Definition: – Depigmented areas that appear as dead white or light pink patches

• Histologic correlation: – Lack of melanin and scar-like or fibrosis

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Fibrosis with melanophage

Blue-white area

• Definition: – Whitish film overlying a more darkly pigmented area

• Histologic correlation: – Compact orthokeratosis and hypergranulosis – Sheets of melanocyte nests

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• Basic pattern – – – –

Parallel furrow pattern 平行皮溝型 Fibrillar pattern 纖維型 Lattice-like pattern 格子樣型 Parallel ridge pattern 平行皮丘型

• Minor pattern – Crista dotted pattern 脊上點狀型 – Crista reticulated pattern 脊上網狀型 – Diffuse pattern 廣泛型

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Fibrillar pattern/thin filamentous

Parallel furrow pattern

Parallel furrow pattern/Double dot line

Fibrillar pattern

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• Pigment network • Brown globules/dots • Radial streaming/streaks

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Program book