Lindgren G, Lindblom B, Bratel A T, Mölne L, Larkö O
Department of Ophthalmology, Göteborg University, Sahlgrenska University Hospital, Sweden.
Acta Ophthalmol Scand. 2000 Aug;78(4):425-9. doi: 10.1034/j.1600-0420.2000.078004425.x.
To analyse the characteristics of eyelid basal cell carcinomas excised using Mohs' micrographic technique.
Sixty-six eyelid basal cell carcinomas were excised using Mohs' micrographic technique. The tumours were classified into four subtypes; morpheiform, intermediate, nodular/micronodular and superficial. Data on previous treatment of the tumours were retrieved.
Thirty-two tumours (48%) were primary, 8 tumours (12%) were incompletely excised using conventional excision surgery and 26 tumours (39%) were recurrent. Nineteen of the 26 (73%) recurrent tumours and 14 of the 32 (44%) primary tumours were nodular/micronodular. To achieve radical excision, superficial tumours needed an average of 2.0, nodular/micronodular 2.5, intermediate 2.0 and morpheiform tumours 2.9 excisions.
Eyelid basal cell carcinomas with ill-defined borders or recurrent tumours are well suited for Mohs' micrographic surgery. The extensions of the tumours are difficult to determine even in some less aggressive subtypes such as superficial and nodular/micronodular basal cell carcinomas.
分析采用莫氏显微描记手术切除的眼睑基底细胞癌的特征。
采用莫氏显微描记手术切除66例眼睑基底细胞癌。将肿瘤分为四种亚型：浸润型、中间型、结节/微结节型和表浅型。检索肿瘤既往治疗的数据。
32例肿瘤（48%）为原发性，8例肿瘤（12%）采用传统切除手术切除不完全，26例肿瘤（39%）为复发性。26例复发性肿瘤中的19例（73%）和32例原发性肿瘤中的14例（44%）为结节/微结节型。为实现根治性切除，表浅型肿瘤平均需要2.0次切除，结节/微结节型2.5次，中间型2.0次，浸润型肿瘤2.9次。
边界不清的眼睑基底细胞癌或复发性肿瘤非常适合莫氏显微手术。即使在一些侵袭性较小的亚型中，如浅表型和结节/微结节型基底细胞癌，肿瘤的范围也难以确定。
