Division of Dermatology, Washington University School of Medicine, 660 S. Euclid Ave., CB 8123, St. Louis, MO, 63110, USA.
Center for Dermatologic and Cosmetic Surgery, Division of Dermatology, Department of Medicine, Washington University, St. Louis, MO, USA.
Arch Dermatol Res. 2023 Oct;315(8):2423-2425. doi: 10.1007/s00403-023-02617-2. Epub 2023 Apr 7.
Basal cell carcinoma (BCC) of the sun-protected genital region is rare. We examined all penoscrotal BCC at a single institution over an 18-year period. A total of 7 cases were identified, 5 scrotal and 2 penile. Four cases (57%) were treated with Mohs micrographic surgery (MMS) and 3 cases (43%) with conventional excision. A prior retrospective review of vulvar BCC at our institution during the same time period showed that MMS was utilized in 4 (11%) of 35 cases. Functional preservation is vital when performing surgery on the genitals and tissue-sparing MMS provides optimal tumor clearance and outcomes for both males and females.
日光保护部位的基底细胞癌(BCC)很少见。我们在一家机构检查了 18 年来所有的阴囊阴茎 BCC。共发现 7 例,5 例阴囊,2 例阴茎。4 例(57%)采用 Mohs 显微外科手术(MMS)治疗,3 例(43%)采用传统切除术。同期回顾我院外阴 BCC 病例,MMS 应用于 35 例中的 4 例(11%)。在对生殖器进行手术时,保持功能至关重要,而保留组织的 MMS 为男性和女性提供了最佳的肿瘤清除效果和结局。