Breuninger H
Universitäts-Hautklinik, Eberhard-Karls-Universität , Liebermeisterstrasse 25, 72076 Tübingen.
Hautarzt. 2009 Jul;60(7):556-60. doi: 10.1007/s00105-009-1721-5.
Special knowledge is required to treat acral skin tumors. These lesions are encountered relatively often by dermatologic surgeons. A tissue-sparing operative approach is essential. Especially when dealing with malignant tumors, complete excision must be strived for. One must also consider the methods of local spread of the different tumors. Highly-sensitive 3D histology allows one to combine complete removal and tissue sparing. This helps in preserving function. The operative approach is made simpler by automatic subcutaneous infusion anesthesia with epinephrine added to the local anesthetic; this can also be employed without concern in acral regions.
治疗手足部皮肤肿瘤需要专业知识。皮肤科外科医生相对经常会遇到这些病变。保留组织的手术方法至关重要。尤其是在处理恶性肿瘤时，必须力求完整切除。还必须考虑不同肿瘤的局部扩散方式。高灵敏度的三维组织学能够将完整切除与组织保留相结合。这有助于保留功能。在局部麻醉剂中添加肾上腺素进行自动皮下输注麻醉，使手术方法更为简便；在手足部区域也可放心使用。
