Brooks N A
J Am Acad Dermatol. 1984 Feb;10(2 Pt 1):279-84.
Curettage and electrodesiccation, the customary treatment for primary basal and squamous cell carcinomas, lacks histologic control and standardization. A review of the literature cites these factors as potential causes for undesirable recurrence rates, especially in cosmetically sensitive areas. Curettage and shave excision offers histologic control, yet with no more sacrifice of normal tissue than curettage and electrodesiccation. An experimental study with 100 patients is described in which curettage and shave excision was used, instead of curettage and electrodesiccation, to treat primary carcinomas 1.0 cm or less. It is suggested that curettage and shave excision, while simple in concept, requires formal training and warrants consideration for inclusion into graduate training programs as an alternative effective treatment for primary carcinomas.
刮除术和电干燥法是原发性基底细胞癌和鳞状细胞癌的传统治疗方法，但缺乏组织学控制和标准化。文献综述指出，这些因素是导致不良复发率的潜在原因，尤其是在对美观敏感的区域。刮除术和削除术可实现组织学控制，而且与刮除术和电干燥法相比，对正常组织的损伤并无增加。本文描述了一项针对100例患者的实验研究，其中采用刮除术和削除术而非刮除术和电干燥法来治疗直径1.0厘米及以下的原发性癌。研究表明，刮除术和削除术虽然概念简单，但需要正规培训，并且值得纳入研究生培训项目，作为原发性癌的一种替代有效治疗方法。
