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基底细胞癌的诊断和治疗方面的进展
Afrah A Khalil1, Hamid H Enezei2, Tahrir N Aldelaimi2
1Department of Oral Diagnosis, Oral and Maxillofacial Pathologist, College of Dentistry, University of Anbar.
The Journal of craniofacial surgery
|January 22, 2024
概括
基底细胞癌 (BCC) 的诊断更快,更少的侵入性使用皮细胞学. 二极管激光切除为面部BCC提供了极好的结果,并发症最小,化品效果优越.
科学领域:
- 皮肤病学 皮肤病学
- 在瘤学瘤学.
- 手术技术 手术技术
背景情况:
- 基底细胞癌 (BCC) 发病率在全球范围内不断上升,主要影响老年人暴露在阳光下的皮肤,特别是大面部区域.
- 传统的BCC活检方法可能具有侵入性,并可能导致痕,突出显示了对较少侵入性的诊断和治疗方法的需求.
研究的目的:
- 为了研究大面部区域的基底细胞癌的临床病理特征.
- 为了比较用于BCC诊断的先进细胞学技术.
- 评估二极管激光切除面部BCC的治疗疗效和结果.
主要方法:
- 在2021年9月至2023年8月期间,对48名面部BCC病变 (直径<2.5厘米) 用二极管激光切除 (940nm和980nm) 治疗的患者进行了回顾性分析.
- 细胞学诊断技术的比较,包括使用Papanicolaou和Diff-Quick染料的擦除,划痕和印记.
- 评估临床病理学数据,治疗结果和并发症率.
主要成果:
- 大多数BCC患者年龄超过50岁 (58%) 和男性 (62%),病变主要发生在脸部中三分之一 (34%).
- 皮细胞学被证明是一种快速,经济有效,耐受良好的诊断方法,不需要局部麻醉.
- 在6个月的随访期内,二极管激光切除显示出卓越的审美和功能结果,并发症很少出现.
结论:
- 通过除进行细胞学检查是一种极具优势,极少侵入性和具有成本效益的方法,用于快速诊断基底细胞癌.
- 极激光切除是面部BCC的有效治疗选择,产生了优异的功能和美学结果,并发症率低.
- 结节性BCC是最常见的组织学亚型,面部中间三分之一是最常见的受影响区域.
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