Radiology Unit, Istituto Diagnostico Varelli, Naples, Italy.
Clinic of Dermatology and Allergology, University Clinic, Ulm, Germany.
J Ultrasound Med. 2023 Oct;42(10):2439-2446. doi: 10.1002/jum.16255. Epub 2023 May 17.
Skin cancer may recur at or around the surgical site despite wide excisions. Prompt clinical and sonographic detection of local recurrence is important since subjects with relapsing melanomas or nonmelanoma malignancies can be managed efficaciously, with a relevant impact on morbidity and survival. Ultrasound is being employed with increasing frequency in the assessment of skin tumors, but most of the published articles relate to initial pretherapeutic diagnosis and staging. This review aims to offer an illustrated guide to the sonographic evaluation of locally recurring skin cancer. We introduce the topic, then we provide some sonographic tips for patient follow-up, then we describe the ultrasound findings in case of local recurrence, illustrating the main mimickers, and finally, we mention the role of ultrasound in guiding diagnostic and therapeutic percutaneous procedures.
尽管进行了广泛的切除，皮肤癌仍可能在手术部位或其周围复发。及时发现局部复发的临床和超声表现非常重要，因为复发的黑色素瘤或非黑色素瘤恶性肿瘤患者可以得到有效治疗，这对发病率和生存率有重要影响。超声在皮肤肿瘤的评估中应用越来越频繁，但大多数已发表的文章都与初始治疗前的诊断和分期有关。本综述旨在提供一个关于局部复发性皮肤癌超声评估的图文指南。我们首先介绍主题，然后提供一些用于患者随访的超声技巧，接着描述局部复发的超声表现，举例说明主要的类似表现，并最后提到超声在指导诊断和治疗性经皮操作中的作用。
