Le Stephanie T, Kamal Heba Y, Khachemoune Amor
Drexel/Hahnemann University Hospital, Philadelphia, PA, USA.
Hamad Medical Corporation, Doha, Qatar.
Pediatr Dermatol. 2018 Jul;35(4):434-440. doi: 10.1111/pde.13460. Epub 2018 Mar 25.
Mohs micrographic surgery (MMS) is a highly specialized technique that has been successful in the treatment of a variety of skin tumors. The technique can be performed as an outpatient procedure and encompasses surgical excision and intraoperative assessment of tumor margins in one setting by the same physician. The process ensures precise margin control with maximal preservation of healthy tissues. Mohs micrographic surgery has been practiced worldwide, including in the United States, Europe (United Kingdom, Germany, Spain, Netherlands, Switzerland), and Australia. Although it is commonly performed in adults with greater success, it has been discussed less frequently in children. In this article, we describe several cutaneous tumors in children and the role of Mohs micrographic surgery in their management. A PubMed search was conducted to review the most common cutaneous tumors in children treated using Mohs micrographic surgery. In this review, we discuss indications for Mohs micrographic surgery and pertinent studies examining success rates in children. Mohs micrographic surgery has been used to treat several tumors in children and offers the advantage of high cure rates and tissue conservation. This report emphasizes the benefits of Mohs micrographic surgery in children and highlights several cutaneous tumors for which it has been used to treat successfully.
莫氏显微外科手术（MMS）是一种高度专业化的技术，已成功应用于多种皮肤肿瘤的治疗。该技术可作为门诊手术进行，由同一位医生在同一环境中完成手术切除和术中肿瘤边缘评估。这一过程确保了精确的边缘控制，同时最大程度地保留健康组织。莫氏显微外科手术已在全球范围内开展，包括美国、欧洲（英国、德国、西班牙、荷兰、瑞士）和澳大利亚。虽然它在成人中应用更为普遍且成功率更高，但在儿童中的讨论相对较少。在本文中，我们描述了几种儿童皮肤肿瘤以及莫氏显微外科手术在其治疗中的作用。我们通过PubMed搜索来回顾使用莫氏显微外科手术治疗的儿童中最常见的皮肤肿瘤。在本综述中，我们讨论了莫氏显微外科手术的适应症以及相关研究中儿童的成功率。莫氏显微外科手术已用于治疗儿童的多种肿瘤，并具有治愈率高和组织保留的优势。本报告强调了莫氏显微外科手术在儿童中的益处，并突出了几种已成功应用该手术治疗的皮肤肿瘤。
