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面部皮肤癌经Mohs 显微外科手术治疗的分布一致性。

Consistency in Distribution of Facial Skin Cancers Treated With Mohs Micrographic Surgery.

出版信息

J Drugs Dermatol. 2022 May 1;21(5):506-509. doi: 10.36849/JDD.6143.

DOI:10.36849/JDD.6143
PMID:35533023
Abstract

Mohs micrographic surgery (MMS) has become the standard of treatment for skin malignancies of the head and neck. However, there is a paucity of literature describing facial distributions of MMS. Anatomical location of skin cancer is an important feature to study as it can affect prognosis as well as pathogenesis of skin cancers. This study aims to analyze consistency in head and neck MMS anatomical distributions and compare differences between multiple centers. The study retrospectively reviews 5871 MMS cases performed at a single center in Chevy Chase, Maryland from January 2014 through December 2019. Results show distributions of skin cancers on the face treated with MMS consistently occur at the same anatomical sites year after year with minimal variance. This knowledge of consistency provides a foundation for future studies because it allows for comparison. Comparing and contrasting data across multiple centers can elucidate regional characteristics that may impact the pathogenesis and distribution of facial skin tumors. Many regional or demographical factors may be important in the development of cutaneous malignancies. This information should be considered when assessing risk factors for cancerous skin lesions.J Drugs Dermatol. 2022;21(5):506-509. doi:10.36849/JDD.6143.

摘要

Mohs 显微外科手术(MMS)已成为头颈部皮肤恶性肿瘤的标准治疗方法。然而,描述 MMS 的面部分布的文献却很少。皮肤癌的解剖位置是一个重要的研究特征,因为它会影响皮肤癌的预后和发病机制。本研究旨在分析头颈部 MMS 解剖分布的一致性,并比较多个中心之间的差异。本研究回顾性分析了 2014 年 1 月至 2019 年 12 月期间,马里兰州切维蔡斯的一个单一中心进行的 5871 例 MMS 病例。结果表明,每年用 MMS 治疗的面部皮肤癌的分布都在相同的解剖部位,且变化很小。这种一致性知识为未来的研究提供了基础,因为它允许进行比较。比较和对比多个中心的数据可以阐明可能影响面部皮肤肿瘤发病机制和分布的区域特征。许多区域性或人口统计学因素可能对面部皮肤恶性肿瘤的发生有重要影响。在评估癌性皮肤病变的危险因素时,应考虑这些信息。J 皮肤病药物治疗杂志。2022;21(5):506-509.doi:10.36849/JDD.6143.

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