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微创等离子设备治疗与罕见遗传性皮肤病相关的多发性良性皮肤癌——病例系列及治疗方法综述

Minimally Invasive Plasma Device Management of Multiple Benign Skin Cancers Associated with Rare Genodermatoses-Case Series and Review of the Therapeutic Methods.

作者信息

Płatkowska Anna, Słowińska Monika, Zalewska Joanna, Swacha Zbigniew, Szumera-Ciećkiewicz Anna, Wągrodzki Michał, Patera Janusz, Łapieńska-Rey Katarzyna, Lorent Małgorzata, Ługowska Iwona, Rutkowski Piotr, Owczarek Witold

机构信息

Department of Dermatology, Military Institute of Medicine-National Research Institute, Central Clinical Hospital Ministry of Defense, Szaserow 128, 04-141 Warsaw, Poland.

Anclara Health & Aesthetic lek. Anna Płatkowska, Anclara Ltd., Puławska 136/62, 02-511 Warsaw, Poland.

出版信息

J Clin Med. 2024 Jul 26;13(15):4377. doi: 10.3390/jcm13154377.

Abstract

: Non-melanocytic benign skin tumours encompass a diverse group of lesions, classified based on their cellular origin, such as epidermal, vascular, fibrous, neural, muscle, and adnexal tumours. Though they often reveal solitary lesions, multiple skin tumours focus on genodermatoses. Each syndrome exhibits distinct clinical characteristics and potential complications, including cutaneous and extra-cutaneous malignancies, some of which are potentially life-threatening. Diagnosing genetic syndromes is complex and requires numerous histopathological and immunohistochemistry tests due to similarities between the adnexal tumours and basal cell carcinoma upon pathology. : To illustrate the clinical practice, we conducted a retrospective case study that included eleven patients with genodermatoses referred to a tertiary dermatology clinic from September 2018 to April 2024. We have also conducted a research study on available treatment modalities in this setting. : Five patients with excellent aesthetic results were treated using a recently approved FDA plasma device. After searching SCOPUS and PubMed database records, we assessed 96 original articles to present current knowledge regarding the dermato-surgical approach. : Multiple skin tumours, especially on the face, may significantly affect patients' quality of life and have psychological consequences. An appropriate treatment selection tailored to the patient's needs should be provided. There is no standardised treatment for multiple benign tumours in genodermatoses, and selected methods with varying efficacy are employed. We presented the utility of a new plasma device in these settings.

摘要

非黑素细胞性良性皮肤肿瘤包括多种不同类型的病变,根据其细胞起源进行分类,如表皮、血管、纤维、神经、肌肉和附属器肿瘤。虽然它们通常表现为单个病变,但多发性皮肤肿瘤主要与遗传性皮肤病相关。每种综合征都具有独特的临床特征和潜在并发症,包括皮肤和皮肤外恶性肿瘤,其中一些可能危及生命。由于附属器肿瘤在病理上与基底细胞癌相似,因此诊断遗传性综合征很复杂,需要进行大量的组织病理学和免疫组织化学检查。

为了说明临床实践情况,我们进行了一项回顾性病例研究,纳入了2018年9月至2024年4月期间转诊至一家三级皮肤科诊所的11例遗传性皮肤病患者。我们还对这种情况下可用的治疗方式进行了一项研究。

5例患者使用最近获得美国食品药品监督管理局(FDA)批准的等离子设备进行治疗,取得了良好的美容效果。在检索了Scopus和PubMed数据库记录后,我们评估了96篇原始文章,以呈现有关皮肤外科手术方法的当前知识。

多发性皮肤肿瘤,尤其是面部的肿瘤,可能会显著影响患者的生活质量并产生心理影响。应根据患者需求提供合适的治疗选择。对于遗传性皮肤病中的多发性良性肿瘤,目前尚无标准化的治疗方法,而是采用了疗效各异的选定方法。我们展示了一种新型等离子设备在这些情况下的效用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a73/11312861/3a5ba2d68c71/jcm-13-04377-g001.jpg

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