Hwang So-Min, Pan Hao-Ching, Hwang Min-Kyu, Kim Min-Wook, Lee Jong-Seo
Aesthetic, Plastic and Reconstructive Surgery Center, Korea.
Arch Craniofac Surg. 2016 Jun;17(2):86-89. doi: 10.7181/acfs.2016.17.2.86. Epub 2016 Jun 21.
Despite the fact that benign skin lesions can undergo malignant transformation, the necessity and timing of the surgical resection have yet to be established. In this study, we analyse three cases of benign-appearing skin lesions, which were found to be carcinomatous on histologic examination and review the literature regarding the importance of prophylactic removal of benign-appearing skin lesion. The first and second cases were female patients wishing for cosmetic surgery. The first patient had a benign-appearing lesion on dorsum nasi, and the second patient had an inconspicuous lesion right along the right nasolabial fold. The third patient was a middle-aged male with a pigmented lesion on the left cheek, who presented to the clinic only after having met the operating surgeon through an acquaintance outside the hospital setting. All of the lesions were suspected to be of benign nature and were excised for cosmesis only. However, histologic examination of these lesions showed that the first two tumors were basal cell carcinoma with the last tumor being squamouse cell carcinoma. Thus, it is considered that removal of benign like skin lesion will result in good prognosis of patients scheduled to undergo other surgery.
尽管良性皮肤病变可能会发生恶性转化，但手术切除的必要性和时机尚未确定。在本研究中，我们分析了三例外观良性的皮肤病变，这些病变在组织学检查中被发现为癌性，并回顾了有关预防性切除外观良性皮肤病变重要性的文献。第一例和第二例是希望进行整容手术的女性患者。第一例患者鼻背有一个外观良性的病变，第二例患者沿右侧鼻唇沟有一个不显眼的病变。第三例患者是一名中年男性，左脸颊有一个色素沉着病变，他是通过医院外的熟人结识了主刀医生后才前来就诊的。所有病变均被怀疑为良性，仅为美容目的而切除。然而，这些病变的组织学检查显示，前两个肿瘤为基底细胞癌，最后一个肿瘤为鳞状细胞癌。因此，认为切除类似良性的皮肤病变将使计划接受其他手术的患者获得良好的预后。
