在局部发达头皮恶性瘤的部分厚度切除的瘤结局
Soroush Farsi1, John Q Odom1, J Reed Gardner1
1University of Arkansas for Medical Sciences, Department of Otolaryngology - Head and Neck Surgery, 4301 West Markham Street, Slot #543, Little Rock, AR 72205, United States of America.
American journal of otolaryngology
|August 6, 2024
概括
部分切除为局部发达的头皮恶性瘤提供了一种安全有效的外科选择. 这种方法实现了良好的局部控制,与传统的全厚切除相比降低了风险.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 皮肤病学 皮肤病学
背景情况:
- 当地发达的头皮恶性瘤传统上需要广泛的全厚切除.
- 这种方法带有重大风险和并发症的可能性.
研究的目的:
- 为了评估在没有骨髓骨侵袭的情况下进行侵袭性头皮癌的部分头骨切除的瘤结果.
- 为了评估这些恶性瘤的Burr-down方法的安全性和有效性.
主要方法:
- 对26名头皮癌成年患者进行了回顾性病例系列分析,这些患者的头皮癌侵入了头骨.
- 数据包括人口统计,手术结果,辅助疗法和瘤学结果.
- 进行了部分切除,采用下技术.
主要成果:
- 状细胞癌是最常见的诊断 (16/26名患者).
- 所有患者都在没有手术后并发症的情况下实现了部分切除.
- 在88.4%的患者 (23/26) 实现了局部控制,平均随访时间为19.1个月.
- 复发发生在7名患者中 (局部:3名,区域:3名,远部:1名).
结论:
- 部分切除是针对特定头皮恶性瘤的全厚切除的安全有效替代方案.
- 这种技术减少了手术风险,并促进了更好的软组织愈合.
- 它为侵入性头皮癌提供了持久的局部控制.
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