Wiggs E O
Ophthalmic Surg. 1981 Dec;12(12):891-6.
Incompletely excised basal cell carcinoma of the ocular adnexa is discussed by reviewing the role of surgery, cryosurgery, Mohs' chemosurgery, radiation, and observation on the management of this problem. The ultimate treatment depends upon tumor histology, operability of the lesion, location of the lesion, type of surgery performed, age and general condition of the patients, and extenuating socio-economic variables. What may be optimal treatment for a primary tumor is not necessarily optimal treatment for an incompletely excised tumor because of the risk of converting a minor surgical procedure into a major one and possible impairing ultimate lid or ocular function via flap or graft compromise or corneal exposure. This paper explores the choices available to the surgeon in detail.
通过回顾手术、冷冻手术、莫氏化学外科手术、放射治疗以及观察在处理该问题中的作用，对眼部附属器基底细胞癌切除不完全的情况进行了讨论。最终的治疗取决于肿瘤组织学、病变的可手术性、病变位置、所施行的手术类型、患者的年龄和一般状况以及情有可原的社会经济变量。由于存在将一个小手术转变为大手术的风险，以及可能通过皮瓣或移植物受损或角膜暴露而损害最终的眼睑或眼部功能，对于原发性肿瘤可能是最佳的治疗方法，对于切除不完全的肿瘤不一定是最佳的治疗方法。本文详细探讨了外科医生可采用的选择。
