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睑板黑色素瘤的多学科管理

Multidisciplinary Management of Palpebral Melanoma.

作者信息

Chávez Díaz Marcelo, Ziegler Rodríguez Otto, Ziegler Rodríguez Gonzalo, Montes Gil Jaime, De la Cruz Ku Gabriel, Cedrón Lenci Carla Carina, Ziegler-Gutierrez Otto

机构信息

From the Clinica Ziegler, Melanoma and Skin Cancer Unit, Lima, Peru.

Department of Breast Surgery, Skin Cancer and Soft Tissue Tumors, Hospital Nacional Guillermo Almenara Irigoyen, Lima, Peru.

出版信息

Plast Reconstr Surg Glob Open. 2025 Mar 10;13(3):e6597. doi: 10.1097/GOX.0000000000006597. eCollection 2025 Mar.

Abstract

Ocular melanoma encompasses the uveal tract, conjunctiva, eyelid, and orbit. Palpebral localization is extremely infrequent, constituting less than 1% of skin melanomas, the main treatment of which is surgical. However, the radicality of the resection is restricted by anatomical location and functional sequelae. The importance of obtaining free surgical margins, which impact the percentage rate of locoregional recurrence and patient survival, has led to recommendations regarding the distance of the margin in the macroscopic (5 mm) and microscopic (>2 mm) evaluation, as well as the use of Mohs surgical technique for selected groups. Adequate surgical and reconstructive planning are the main objectives of multidisciplinary management in these patients. We present the case of a patient with palpebral melanoma treated in an oncology unit in Latin America.

摘要

眼黑色素瘤包括葡萄膜、结膜、眼睑和眼眶。睑部定位极为罕见,占皮肤黑色素瘤的比例不到1%,其主要治疗方法是手术。然而,切除的彻底性受到解剖位置和功能后遗症的限制。获得无瘤手术切缘的重要性影响着局部复发率和患者生存率,因此在宏观(5毫米)和微观(>2毫米)评估中对切缘距离提出了建议,同时也建议对特定人群采用莫氏手术技术。充分的手术和重建规划是这些患者多学科管理的主要目标。我们介绍了一名在拉丁美洲肿瘤科室接受治疗的睑部黑色素瘤患者的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efd3/11893093/3a7113b39b50/gox-13-e6597-g001.jpg

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