用于皮肤肿瘤椭圆形切除的莫氏显微外科手术：一项外科手术及组织学研究。
Mohs micrographic surgery for elliptical excision of skin tumors: a surgical and histologic study.
作者信息
Kimyai-Asadi Arash, Goldberg Leonard H, Nemeth Alexandra, Friedman Paul M, Jih Ming H
机构信息
DermSurgery Associates, Houston, Texas 77030, USA.
出版信息
Dermatol Surg. 2004 Oct;30(10):1310-7; discussion 1317-8. doi: 10.1111/j.1524-4725.2004.30401.x.
BACKGROUND
Elliptical excision is a standard form of treatment for cutaneous neoplasms, but routine pathologic sectioning results in incomplete histologic control of surgical margins.
OBJECTIVE
The objective was to describe a technique of complete histologic margin control for tumors removed by excision as an ellipse.
METHODS
A retrospective study of 100 consecutive nonmelanoma skin cancers of the head and neck removed using elliptical excisions with complete histologic margin control was performed. The technique is described and depicted in detail.
RESULTS
Seventy-one tumors were removed in one excision, and 29 required additional excisions for complete histologic tumor clearance. Linear repairs were used for 93 tumors.
CONCLUSION
Elliptical excision, combined with our technique of complete histologic margin control, provides a simple, efficient, and effective method for surgical removal and repair of nonmelanoma skin cancers and provides an alternative variation of performing Mohs micrographic surgery for selected tumors.
背景
椭圆形切除术是皮肤肿瘤的标准治疗方式，但常规病理切片会导致手术切缘的组织学控制不完整。
目的
目的是描述一种对椭圆形切除的肿瘤进行完整组织学切缘控制的技术。
方法
对100例连续的头颈部非黑色素瘤皮肤癌进行回顾性研究，这些肿瘤采用椭圆形切除术并进行了完整的组织学切缘控制。详细描述并展示了该技术。
结果
71个肿瘤一次切除即被清除，29个肿瘤需要额外切除以实现完整的组织学肿瘤清除。93个肿瘤采用了线性修复。
结论
椭圆形切除术结合我们的完整组织学切缘控制技术，为非黑色素瘤皮肤癌的手术切除和修复提供了一种简单、高效且有效的方法，并为特定肿瘤提供了一种替代的莫氏显微外科手术方式。
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