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[基底细胞癌、鳞状细胞癌及皮肤癌前病变——如何治疗?]

[Basal cell carcinoma, squamous cell carcinoma and premalignant skin lesions--how to treat?].

作者信息

Pitkänen Sari, Jeskanen Leila, Ylitalo Leea

出版信息

Duodecim. 2014;130(6):643-53.

Abstract

Increasing exposure to UV radiation is considered the most important etiologic factor of nonmelanoma skin cancers. Consequently, exposed areas such as the scalp and face, are the primary areas for developing non-melanoma skin cancers. Once a patient has presented with one tumor, additional lesions are common. The diagnosis is based on typical clinical picture and biopsy or excision for histopathological analysis. Various non-surgical treatment options have been established. Superficial basal cell carcinoma, superficial carcinoma in situ and all actinic keratoses are preferentially treated non-surgically. Most other basal cell and squamous cell carcinomas should be surgically removed.

摘要

紫外线辐射暴露增加被认为是非黑色素瘤皮肤癌最重要的病因。因此,头皮和面部等暴露部位是发生非黑色素瘤皮肤癌的主要部位。一旦患者出现一个肿瘤,额外的病变很常见。诊断基于典型的临床表现以及活检或切除以进行组织病理学分析。已经确立了各种非手术治疗选择。浅表基底细胞癌、浅表原位癌和所有光化性角化病优先采用非手术治疗。大多数其他基底细胞癌和鳞状细胞癌应手术切除。

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