Miladi Anis, Bingham Jonathan
Department of Dermatology, National Naval Medical Center, Bethesda, Maryland, USA.
J Drugs Dermatol. 2011 Mar;10(3):257-9.
Mohs micrographic surgery can be unpredictable with respect to the level of difficulty of individual cases, especially when pre-operative information is limited. In a retrospective study, Sahai and Walling found complex tumors as defined by requiring four or more stages to clearance to be associated with: recurrent tumors, basal cell carcinoma (BCC) with aggressive histology, tumors with a pre-operative size greater than 1 cm and tumors on the nose.1 The authors created a simplified system for "triaging" Mohs surgery cases in order to predict case complexity and, thus, be better able to manage the scheduling of those cases. Data gathered from 12 months of utilizing this system was used to validate the system's ability to predict case complexity with respect to number of stages for tumor clearance and complexity of reconstruction.
莫氏显微外科手术在个别病例的难度水平方面可能难以预测，尤其是在术前信息有限的情况下。在一项回顾性研究中，萨海和沃林发现，按照需要四个或更多阶段才能清除来定义的复杂肿瘤与以下情况相关：复发性肿瘤、具有侵袭性组织学特征的基底细胞癌（BCC）、术前大小大于1厘米的肿瘤以及鼻部肿瘤。作者创建了一个简化系统用于对莫氏手术病例进行“分类”，以预测病例的复杂性，从而更好地安排这些病例的手术时间。利用该系统12个月收集的数据被用于验证该系统在预测肿瘤清除阶段数量和重建复杂性方面预测病例复杂性的能力。
