J Drugs Dermatol. 2021 Mar 1;20(3):311-319. doi: 10.36849/JDD.5656.
As the incidence of non-melanoma skin cancer (NMSC) increases in the United States, one area of particular concern is NMSC arising on the genitalia. In the past, most genital skin tumors have been treated by conventional radical surgical approaches such as penectomy, vulvectomy, or wide local excision. In recent years, tissue sparing Mohs micrographic surgery (MMS) has been established as a safe and effective method of achieving cutaneous genital tumor clearance. The aim of this article is to provide an overview of NMSCs arising on genital skin treated with MMS, and describe some of their indications, results, and associated complications. A summary of case reports, case series, and retrospective reviews is made available to guide decision making and surgical planning for tumors of this nature. Pertinent anatomy, site-specific surgical techniques, and reconstruction options of genital skin will be discussed. J Drugs Dermatol. 2021;20(3):311-319. doi:10.36849/JDD.5656.
随着美国非黑色素瘤皮肤癌（NMSC）发病率的上升，一个特别值得关注的领域是发生在生殖器部位的 NMSC。过去，大多数生殖器皮肤肿瘤采用传统的根治性手术方法治疗，如阴茎切除术、外阴切除术或广泛局部切除术。近年来，保留组织的 Mohs 显微外科手术（MMS）已被确立为一种安全有效的方法，可实现皮肤生殖器肿瘤的清除。本文旨在概述采用 MMS 治疗的生殖器皮肤 NMSC，并描述其一些适应证、结果和相关并发症。对病例报告、病例系列和回顾性研究的总结可用于指导此类肿瘤的决策制定和手术计划。本文将讨论生殖器皮肤的相关解剖结构、特定部位的手术技术和重建选择。《皮肤病药物杂志》。2021;20(3):311-319. doi:10.36849/JDD.5656.
