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转移性基底细胞癌:病例系列和文献综述
Mariana Gonçalves Rodrigues1, Aline Vieira de Lucena2, Gabriela Alves Domingues2
1Universidade de São Paulo (USP), Faculdade de Medicina, Disciplina de Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brazil.
Brazilian journal of otorhinolaryngology
|May 29, 2025
概括
转移性头部和部基底细胞癌 (BCC) 是罕见的. 确定了7例病例,淋巴结是转移最常见的部位. 定期的部检查对于早期检测至关重要.
科学领域:
- 皮肤病学 皮肤病学
- 在瘤学瘤学.
- 头部和部手术 头部和部手术
背景情况:
- 基底细胞癌 (BCC) 是最常见的皮肤癌,很少发生转移.
- 由于解剖学复杂性,头部和部的高风险BCC存在独特的挑战.
- 了解转移模式和治疗结果对于患者管理至关重要.
研究的目的:
- 为了分析一系列转移的头部和部基底细胞癌病例.
- 为了确定这种罕见表现的特征和治疗方法.
- 为高风险BCC患者的随访协议提供信息.
主要方法:
- 对500名患有高风险头部和部BCC的患者的医疗记录的回顾性审查.
- 纳入标准定义了基于瘤大小,复发,亚型和围神经侵入的高风险.
- 对已诊断的转移病例进行分析,包括人口统计,转移部位和治疗.
主要成果:
- 诊断出7例转移性头BCC的病例.
- 初次诊断时的平均年龄为49.8岁;转移的中位时间为3年.
- 淋巴结是主要的转移部位,主要用手术和放射治疗来治疗.
结论:
- 从头部和部转移的BCC是一个罕见但显著的事件.
- 建议在治疗后对所有BCC患者进行例行临床部检查.
- 应考虑对有症状的患者进行成像,以检测转移.
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