在基底细胞癌中最大限度地减少外科手术边缘:一个单一机构在切除和重建方法方面的经验
Sang-Oh Lee1, Tae Gon Kim1, Kyu Jin Chung1
1Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Republic of Korea.
Archives of plastic surgery
|January 23, 2025
概括
基底细胞癌 (BCC) 的手术切除是有效的,对亚洲患者提出了修改后的广泛切除指南. 这种方法优化了重建,并最大限度地减少了这种常见的皮肤癌的复发.
科学领域:
- 皮肤病学 皮肤病学
- 手术瘤学手术瘤学
- 整形外科 整形外科 整形外科
背景情况:
- 基底细胞癌 (BCC) 是最常见的非黑色素瘤皮肤癌.
- 维护功能和美学在BCC瘤切除中至关重要.
- 目前的外科边缘指南通常基于西方人群的不确定BCCs.
研究的目的:
- 评估亚洲患者BCC外科切除术的疗效.
- 建议修改广泛的消费税准则,以适应亚洲人口结构和BCC特征.
- 分析用于BCC去除的结果和重建技术.
主要方法:
- 从2015年3月到2023年6月,对418名患者 (447例BCC病例) 进行了回顾性分析,这些患者接受了广泛切除.
- 标准的2mm宽切除术,根据冷活检结果进行额外的切除.
- 对患者人口统计,瘤特征,重建方法,并发症和复发率的分析.
主要成果:
- 当地片,皮肤移植和直接关闭是常见的重建方法.
- 第二次切除在较低的面部子单元中更频繁 (11.1%,p=0.024).
- 在5.50%的病例中需要进行额外的切除,与不清楚的边界,色素和透亚型有关.
结论:
- 手术切除是BCC的高效治疗方法.
- 根据瘤特征和位置提出了更改,更窄的切除指南.
- 量身定制的指导方针可以导致更小的缺陷和更简单的重建,改善结果.
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