Vance Karl K, Pytynia Kristen B, Antony Anuja K, Krunic Aleksandar L
Department of Dermatology, University of Illinois, Chicago, Illinois, USA.
Australas J Dermatol. 2014 Aug;55(3):198-200. doi: 10.1111/ajd.12071. Epub 2013 Jul 19.
Although Mohs micrographic surgery is the standard of care for large, aggressive or recurrent non-melanoma skin cancers of the head and neck, tumours that involve deep underlying structures (including bone, parotid gland and named nerves) are impractical for extirpation under local anaesthesia. Such cases are often referred to a head and neck surgeon, who typically relies on intraoperative frozen section analysis of the peripheral cutaneous margin. Here we describe the use of the Mohs moat technique as part of a collaborative approach for the treatment of aggressive and deeply invasive basal cell carcinoma that allows an analysis of the complete peripheral cutaneous margin and results in decreased operating room and general anaesthesia time.
尽管莫氏显微外科手术是治疗头颈部大型、侵袭性或复发性非黑色素瘤皮肤癌的标准治疗方法，但累及深部底层结构（包括骨骼、腮腺和特定神经）的肿瘤在局部麻醉下进行切除是不切实际的。此类病例通常会转诊给头颈外科医生，后者通常依靠术中对周边皮肤切缘进行冷冻切片分析。在此，我们描述了莫氏护城河技术作为一种协作方法的一部分，用于治疗侵袭性和深度浸润性基底细胞癌，该技术可对整个周边皮肤切缘进行分析，并减少手术室时间和全身麻醉时间。
