Department of Dermatology, University of Maryland, 419 West Redwood Street, Suite 240, Baltimore, MD 21201, USA.
Dermatol Clin. 2011 Apr;29(2):175-83, vii-viii. doi: 10.1016/j.det.2011.01.001.
Mohs micrographic surgery is a valuable option for the treatment of melanoma in situ, especially lesions of the lentigo maligna subtype that are clinically ill defined. Complete peripheral margin assessment of a tumor's borders by means of frozen or permanent sections can help reduce the surgical defect size and maximize cure rate as compared with standard excision with preset 5-mm margins. This article reviews the different variations of Mohs micrographic surgery that are currently used for melanoma in situ.
Mohs 显微外科手术是治疗原位黑色素瘤的一种有价值的选择,尤其是临床定义不明确的恶性雀斑样痣亚型病变。通过冷冻或永久切片对肿瘤边界进行完整的外周边缘评估,有助于缩小手术缺陷的大小并提高与预设 5 毫米边缘的标准切除相比的治愈率。本文综述了目前用于原位黑色素瘤的不同类型的 Mohs 显微外科手术。