前臂复发性基本细胞癌 (BCC):一个病例报告
Safaa Abatli1, Mohammed Hasan2,3, Suha B Sholi1
1General Surgery, An-Najah National University Hospital, Nablus, PSE.
Cureus
|July 13, 2023
概括
这项案例研究突出显示了一种复发的基底细胞癌 (BCC) 与周围神经侵入 (PNI). 患有高风险BCC的患者需要进行警的随访,并考虑对隐性转移进行哨兵淋巴结活检 (SLNB).
科学领域:
- 皮肤病学 皮肤病学
- 在瘤学瘤学.
背景情况:
- 基础细胞癌 (BCC) 是一种常见的皮肤癌.
- 复发性BCC,尤其是具有高风险特征的BCC,会带来治疗挑战.
研究的目的:
- 报告一次与周围神经侵入 (PNI) 相关的复发性BCC病例.
- 讨论高风险BCC的预后因素和管理.
主要方法:
- 一位36岁的女性患者有复发性BCC的病史.
- 组织病理学检查显示BCC与PNI.
- 手术切除,伤口关闭,重建性手术和哨兵淋巴结活检 (SLNB).
主要成果:
- 患者出现了第三次在前臂的BCC复发.
- 组织病理学证实BCC与周围神经入侵 (PNI).
- 哨兵淋巴结活检 (SLNB) 对转移呈阴性结果.
结论:
- 在PNI和深度参与的情况下,BCC大于3厘米,表明预后不佳.
- 对于表现出不良预后因素的BCC患者,仔细的随访至关重要.
- 在高风险病例中,应考虑SLNB,以检测隐藏的转移.
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