Paśnikowski T, Kowalik S, Myśliwiec L, Krawczak J
Wiad Lek. 1990;43(21-22):1042-8.
Experiences are presented based on the observation and treatment by surgical methods of 360 patients with facial cutaneous carcinoma in a period of 16 years. The group comprised 57% men and 43% women. Over half the patients had the lesions situated on the nose. In the remaining cases the tumour developed on the cheek (19%), temple (11%), eyelids (6%), forehead (5%) and skin of the lips (3%). Particular therapeutic difficulties were encountered in cases of lesions situated in the medial angle of the palpebral fissure. In 3 cases extensive craniofacial resection with orbitectomy was done for advanced malignant lesions. In 71% of cases basal cell carcinoma was the cause, and in 29% spinocellular carcinoma was diagnosed. Metastases to regional lymph nodes removed during the operation were demonstrated in 16 cases, exclusively caused by spinocellular carcinoma. The problem of surgical safety margin and the main problems of reconstructive procedures in surgical treatment of facial cutaneous carcinoma are discussed.
本文基于16年间对360例面部皮肤癌患者的手术观察与治疗经验进行阐述。该组患者中男性占57%，女性占43%。超过半数的患者病变位于鼻部。其余病例中，肿瘤发生于脸颊（19%）、颞部（11%）、眼睑（6%）、前额（5%）和唇部皮肤（3%）。位于睑裂内眦角的病变治疗存在特殊困难。3例晚期恶性病变行广泛颅面切除并眶内容摘除术。71%的病例为基底细胞癌，29%诊断为棘细胞癌。手术切除的区域淋巴结转移16例，均由棘细胞癌引起。文中讨论了面部皮肤癌手术治疗中手术安全切缘问题及重建手术的主要问题。
