Emmett A J, Broadbent G D
Plast Reconstr Surg. 1987 Jul;80(1):47-54. doi: 10.1097/00006534-198707000-00007.
Shave excision is a useful technique for the treatment of superficial solar lesions. The most common of these is the solar keratosis, which can be a red or gray scaling lesion. This can at times be difficult to differentiate from the superficial basal cell carcinoma or squamous cell carcinoma or their more infiltrating types. Shave excision gives the advantage of a histopathologic report. Lesions found to be infiltrating or in danger of recurrence can then be further excised. The cosmetic appearance of the healed shave excision site is generally quite good, although it can be paler than the surrounding skin. If this is likely to be a problem, the shave graft can be applied, as with deeper shave excisions. A thin shave graft also can be used to repigment pale scarred areas. A series of 1313 shave excised lesions is analyzed.
削除术是治疗浅表性日光性损害的一种有用技术。其中最常见的是日光性角化病，它可以是红色或灰色鳞屑性损害。有时这很难与浅表性基底细胞癌或鳞状细胞癌或其浸润性更强的类型相鉴别。削除术的优点是能获得组织病理学报告。发现有浸润或有复发风险的损害随后可进一步切除。尽管愈合后的削除术部位可能比周围皮肤颜色更淡，但总体美容效果通常相当不错。如果这可能成为一个问题，对于较深的削除术，可应用削除术植皮。薄的削除术植皮也可用于使苍白的瘢痕区域重新着色。对1313例经削除术治疗的损害进行了分析。
