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[鼻皮肤癌——外科治疗方法及结果]

[Skin cancer of the nose - methods and results of surgical treatment].

作者信息

Tyndorf Marta, Strzałka Alicja, Kozakiewicz Marcin

机构信息

Klinika Chirurgii Szczękowo-Twarzowej Uniwersytetu Medycznego, Łódź, Oddział Chirurgii Szczękowej i Laryngologii "Dializa" Sp. z.o.o. Szpital, Łask.

Studenckie Koło Naukowe przy Klinice Chirurgii Szczękowo-Twarzowej UM, Łódź

出版信息

Wiad Lek. 2016;69(2 Pt 2):228-32.

Abstract

BACKGROUND

Non-melanoma skin cancer particularly basal cell carcinoma is the most common human malignancy in Caucasians. The majority of these tumours (80-90%) arise on the sun exposed parts of face. Lesions of the nose are the most challenging for the surgeon, because of the aesthetic feature.

THE AIM

The aim of the study is to evaluate results of surgical treatment of nose skin cancer.

MATERIALS AND METHOD

Authors analysed retrospectively 23 cases of skin cancer of the nose. Demographic data, aesthetic units, surgical methods and complications as well as aesthetic and functional results of treatment were noted.

RESULTS

23 people (9 male and 14 female) with 23 skin lesions were included to the study. The mean age was 72 ± 13 years. Majority of tumours infiltrated more then 1 nose aesthetic subunit. The most common surgical method of reconstruction was bilobed flap. Most of patients presented good aesthetic and functional outcome.

CONCLUSIONS

The most important stage of treatment is proper qualification to surgical treatment - selection of reconstruction method, what establish radicalness of resection and good aesthetic and functional results.

摘要

背景

非黑色素瘤皮肤癌,尤其是基底细胞癌,是白种人中最常见的人类恶性肿瘤。这些肿瘤中的大多数(80%-90%)发生在面部暴露于阳光的部位。由于美学特征,鼻部病变对外科医生来说最具挑战性。

目的

本研究的目的是评估鼻部皮肤癌手术治疗的结果。

材料与方法

作者回顾性分析了23例鼻部皮肤癌病例。记录了人口统计学数据、美学单位、手术方法及并发症,以及治疗的美学和功能结果。

结果

23例皮肤病变患者(9例男性,14例女性)纳入研究。平均年龄为72±13岁。大多数肿瘤浸润超过1个鼻部美学亚单位。最常见的重建手术方法是双叶皮瓣。大多数患者呈现出良好的美学和功能结果。

结论

治疗的最重要阶段是正确选择手术治疗——选择重建方法,这决定了切除的彻底性以及良好的美学和功能结果。

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