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基础细胞癌的边际状况:什么可以做得更好?

Kathryn Uhlman¹, Michael Bonert², Kimberley Yuen³

¹University of Toronto, Department of Surgery, Division of Plastic, Reconstructive, and Aesthetic Surgery, Toronto, Canada.

Journal of plastic, reconstructive & aesthetic surgery : JPRAS

|August 16, 2024

概括

该研究发现基底细胞癌 (BCC) 的不完全切除率为12%. 需要在外科医生和病理学家之间进行标准化报告,以准确评估BCC切除完整性.

科学领域:

皮肤病学皮肤病学
手术瘤学手术瘤学
病理学病理学病理学

背景情况:

基础细胞癌 (BCC) 手术边缘的指导方针已经存在,但对于临床医生来说,模糊性仍然存在.
对BCC切除完整性的准确评估对于患者的治疗结果至关重要.

研究的目的:

为了确定BCC的不完全消费率.
为了确定与不完整的BCC切除相关的因素.
评估外科医生和病理学家之间的报告一致性.

主要方法:

756份BCC切除病理报告 (2019-2020年) 的回顾性分析.
后勤回归用于评估不完整切除与解剖位置,外科医生和病理学家之间的关联.
外科医生病理学要求表格的定性评估完整性.

主要成果:

整体不完全切除率为12%.
头部和部BCC的不完全切除率最高 (15%).
无论是外科医生还是病理学家都没有显著影响不完全切除率;解剖位置 (p<0.05).
报告中发现了重大缺陷:53%的人缺乏临床病史,只有6%的人在要求时指定了"切除".

结论:

观察到的BCC不完全消毒率与现有文献一致.
手术和病理报告的标准化是必不可少的.
不一致的报告可能会增加BCC不完整切除率,影响临床解释.

关键词:

在 BCC BCC BCC BCC BCC BCC BCC BCC BCC BCC BCC BCC BCC BCC BCC 基底细胞癌瘤是一种基本细胞癌.不完全的切除术.利率状态利率状态手术切除术是一种切除术.

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