Department of Dermatologic Surgery, Centro Ortopedico di Quadrante Hospital, Omegna (VB), Italy.
J Dermatolog Treat. 2013 Jun;24(3):221-6. doi: 10.3109/09546634.2012.672711. Epub 2012 Apr 12.
The incomplete excision rate is a useful clinical and performance indicator, as it correlates with the treatment, the recurrence rate, the patient's morbidity and mortality. Methods of preoperative assessment of tumoral margins are therefore of paramount importance. Dermoscopy is a simple, non-invasive method, and can also be used for the diagnosis of epithelial tumors.
The aim of the study is to assess the preoperative evaluation of margins with digital dermoscopy, and compare it with clinical evaluation; to ameliorate the surgical performance.
Ninety-four patients with histologically confirmed squamous cell carcinomas were initially selected for traditional surgical excision. Subsequently, the margin of excision was determined by both clinical (group A, 46 patients) and dermoscopy evaluation (group B, 48 patients).
In group A, margin involvement was observed in eight (17%) patients. Positive margins were seen in three (6%) patients of group B.
Preoperative digital dermoscopy is a better method for detecting tumoral margins than clinical evaluation, and is an effective, simple, non-invasive method for the presurgical evaluation of margins.
不完全切除率是一个有用的临床和绩效指标，因为它与治疗、复发率、患者的发病率和死亡率相关。因此，术前评估肿瘤边缘的方法至关重要。皮肤镜检查是一种简单、非侵入性的方法，也可用于诊断上皮性肿瘤。
本研究旨在评估数字皮肤镜检查对边缘的术前评估，并与临床评估进行比较；以提高手术效果。
最初选择 94 名经组织学证实的鳞状细胞癌患者进行传统手术切除。随后，通过临床评估（A 组，46 例）和皮肤镜评估（B 组，48 例）确定切除边缘。
在 A 组中，有 8 例（17%）患者的边缘受累。B 组中有 3 例（6%）患者的边缘阳性。
术前数字皮肤镜检查是一种比临床评估更好的检测肿瘤边缘的方法，是一种有效的、简单的、非侵入性的术前边缘评估方法。
