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循证医学:面部皮肤恶性肿瘤:非黑色素瘤皮肤癌

Evidence-Based Medicine: Cutaneous Facial Malignancies: Nonmelanoma Skin Cancer.

作者信息

Connolly Karen L, Nehal Kishwer S, Disa Joseph J

机构信息

New York, N.Y.

From the Dermatology Service and the Plastic Surgery Service, Memorial Sloan Kettering Cancer Center.

出版信息

Plast Reconstr Surg. 2017 Jan;139(1):181e-190e. doi: 10.1097/PRS.0000000000002853.

DOI:10.1097/PRS.0000000000002853
PMID:28027254
Abstract

LEARNING OBJECTIVES

After studying this article, the participant should be able to: 1. Identify clinical features of nonmelanoma skin cancer; 2. Distinguish low-risk versus high-risk basal cell carcinoma and squamous cell carcinoma; 3. Define appropriate management based on current guidelines for various types of basal cell and squamous cell carcinoma.

SUMMARY

Skin malignancies are the most prevalent cancers, and plastic surgeons are often the primary physicians engaged in diagnosis and management of these lesions. Proper management includes distinguishing between high-risk and low-risk lesions and determining treatment accordingly. The aim of this Continuing Medical Education article is to review the diagnosis and management of common and uncommon facial skin malignancies, including basal cell carcinoma, squamous cell carcinoma, actinic keratosis, keratoacanthoma, Merkel cell carcinoma, atypical fibroxanthoma, sebaceous carcinoma, and microcystic adnexal carcinoma.

摘要

学习目标

在学习本文后,参与者应能够:1. 识别非黑色素瘤皮肤癌的临床特征;2. 区分低风险与高风险基底细胞癌和鳞状细胞癌;3. 根据当前各类基底细胞癌和鳞状细胞癌的指南确定适当的治疗方法。

总结

皮肤恶性肿瘤是最常见的癌症,整形外科医生通常是参与这些病变诊断和治疗的主要医生。正确的治疗包括区分高风险和低风险病变并据此确定治疗方案。这篇继续医学教育文章的目的是回顾常见和不常见面部皮肤恶性肿瘤的诊断和治疗,包括基底细胞癌、鳞状细胞癌、光化性角化病、角化棘皮瘤、默克尔细胞癌、非典型纤维黄色瘤、皮脂腺癌和微囊性附属器癌。

相似文献

1
Evidence-Based Medicine: Cutaneous Facial Malignancies: Nonmelanoma Skin Cancer.循证医学:面部皮肤恶性肿瘤:非黑色素瘤皮肤癌
Plast Reconstr Surg. 2017 Jan;139(1):181e-190e. doi: 10.1097/PRS.0000000000002853.
2
Detection and treatment of nonmelanoma skin cancer prevent disfigurement and death.非黑色素瘤皮肤癌的检测与治疗可预防毁容和死亡。
Cutis. 1999 Jun;63(6):344.
3
Diagnosis & management of cutaneous malignancies of the head & neck.
Compr Ther. 1997 Nov;23(11):724-9.
4
Common skin cancers.常见皮肤癌。
Minn Med. 2004 Mar;87(3):44-7.
5
Nonmelanoma skin cancer.非黑色素瘤皮肤癌
Facial Plast Surg Clin North Am. 2013 Feb;21(1):43-53. doi: 10.1016/j.fsc.2012.10.003.
6
Periocular skin cancer: Diagnosis and management.眼周皮肤癌:诊断与治疗。
Dis Mon. 2020 Oct;66(10):101046. doi: 10.1016/j.disamonth.2020.101046. Epub 2020 Jun 27.
7
Nonmelanoma skin cancer.
Med Clin North Am. 1998 Nov;82(6):1309-23, vi. doi: 10.1016/s0025-7125(05)70417-x.
8
Nonmelanoma skin cancers in the elderly.老年人的非黑色素瘤皮肤癌
Clin Geriatr Med. 1989 Feb;5(1):161-70.
9
[Ulcerating basal cell carcinoma--an important differential diagnosis for chronic wounds in the facial area].[溃疡性基底细胞癌——面部慢性伤口的重要鉴别诊断]
MMW Fortschr Med. 2013 Sep 26;155(16):53-5. doi: 10.1007/s15006-013-2172-6.
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Cutaneous malignancies: melanoma and nonmelanoma types.皮肤恶性肿瘤:黑素瘤和非黑素瘤类型。
Plast Reconstr Surg. 2011 Mar;127(3):37e-56e. doi: 10.1097/PRS.0b013e318206352b.

引用本文的文献

1
"Well, to Be Honest, I Don't Have an Idea of What It Might Be"-A Qualitative Study on Knowledge and Awareness Regarding Nonmelanoma Skin Cancer.“嗯,说实话,我不太清楚那可能是什么”-一项关于非黑色素瘤皮肤癌相关知识和意识的定性研究。
Curr Oncol. 2023 Feb 15;30(2):2290-2299. doi: 10.3390/curroncol30020177.
2
[Repair of eyelid and periocular soft tissue defects with Pacman flap].[用吃豆人皮瓣修复眼睑及眼周软组织缺损]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2021 Nov 15;35(11):1463-1466. doi: 10.7507/1002-1892.202106066.
3
Dual vascular free transverse rectus abdominis myocutaneous flap for hemifacial reconstruction in a vessel-depleted neck.
双血管游离腹直肌肌皮瓣用于血管缺失颈部的半面重建
Arch Plast Surg. 2020 Jan;47(1):88-91. doi: 10.5999/aps.2019.00927. Epub 2020 Jan 15.
4
Health-Related Quality of Life, Satisfaction with Care, and Cosmetic Results in Relation to Treatment among Patients with Keratinocyte Cancer in the Head and Neck Area: Results from the PROFILES Registry.头颈部角化细胞癌患者的健康相关生活质量、护理满意度和美容效果与治疗的关系:来自 PROFILES 注册研究的结果。
Dermatology. 2020;236(2):133-142. doi: 10.1159/000502033. Epub 2019 Aug 21.
5
Comparison between wait-and-see policy and elective neck dissection in clinically N0 cutaneous squamous cell carcinoma of head and neck.头颈部临床N0期皮肤鳞状细胞癌观察等待策略与选择性颈部淋巴结清扫术的比较
Medicine (Baltimore). 2018 Jun;97(22):e10782. doi: 10.1097/MD.0000000000010782.
6
Mohs Micrographic Surgery: Development, Technique, and Applications in Cutaneous Malignancies.莫氏显微外科手术:皮肤恶性肿瘤的发展、技术及应用
Semin Plast Surg. 2018 May;32(2):60-68. doi: 10.1055/s-0038-1642057. Epub 2018 May 14.