J Cutan Med Surg. 2014 Jan-Feb;18(1):56-9. doi: 10.2310/7750.2013.13061.
Surgical treatment of multiple and recurring invasive carcinomas on the dorsum of the hand often results in a reconstructive challenge. Reconstruction is limited due to reduced adjacent tissue. Preserving the functionality of the hand is pivotal and needs to be respected while planning reconstruction.
We present a case of extensive, multiple, and recurring invasive squamous cell carcinoma on the dorsum of the hand and describe a prophylactic surgical approach.
We performed a radical excision of the skin on the dorsum of the hand and surgical reconstruction using a bilayer dermal skin substitute and split-thickness skin grafting.
After a 1-year follow-up, we observed an excellent cosmetic and functional result with no signs of recurrence.
In case of extensive invasive squamous cell carcinoma on the dorsum of the hand, prophylactic resection and surgical reconstruction using a dermal regeneration template should be considered.
手部背部多发性和复发性浸润性鳞癌的手术治疗常常带来重建方面的挑战。由于毗邻组织减少，重建受到限制。在规划重建时，需要尊重手部的功能并保留其功能。
我们报告一例手部背部广泛、多发性和复发性浸润性鳞状细胞癌病例，并描述预防性手术方法。
我们对手背部皮肤进行根治性切除，并使用双层真皮皮肤替代物和断层皮片移植进行手术重建。
经过 1 年的随访，我们观察到极佳的美容和功能效果，无复发迹象。
在手背部广泛浸润性鳞状细胞癌的情况下，应考虑预防性切除和使用真皮再生模板进行手术重建。
