Eliezri Y D, Cohen P R
Department of Dermatology, College of Physicians and Surgeons of Columbia University, New York, NY.
Plast Reconstr Surg. 1992 Jul;90(1):121-5. doi: 10.1097/00006534-199207000-00020.
Recurrence of basal cell carcinomas after Mohs micrographic surgery is rare but known to occur. This report describes the recurrence of a basal cell carcinoma of the forehead after Mohs surgery in order to illustrate a previously undescribed mechanism of tumor persistence and recurrence despite thorough microscopic evaluation of all surgical margins. The value of the surgeon's reviewing all prior histologic sections before performing micrographic surgery, the importance of resecting all scar tissue from a previous surgical site prior to determination of tumor-free margins, and the potential usefulness of a three-tiered closure after excision of a cutaneous malignancy that involves the muscular layer are discussed.
莫氏显微外科手术后基底细胞癌复发罕见但确有发生。本报告描述了一例前额基底细胞癌在莫氏手术后的复发情况，以阐明一种此前未被描述的肿瘤持续存在和复发机制，尽管对所有手术切缘进行了全面的显微镜评估。文中还讨论了外科医生在进行显微外科手术前复查所有先前组织学切片的价值、在确定无瘤切缘之前从先前手术部位切除所有瘢痕组织的重要性，以及切除累及肌肉层的皮肤恶性肿瘤后采用三层缝合的潜在作用。
