采用莫氏显微外科手术治疗的皮肤淋巴上皮瘤样癌。
Lymphoepithelioma-like carcinoma of the skin treated by Mohs micrographic surgery.
作者信息
Dozier S E, Jones T R, Nelson-Adesokan P, Hruza G J
机构信息
Department of Dermatology, Roswell Park Cancer Institute, Buffalo, New York 14203, USA.
出版信息
Dermatol Surg. 1995 Aug;21(8):690-4. doi: 10.1111/j.1524-4725.1995.tb00271.x.
BACKGROUND
Lymphoepithelioma-like carcinoma of the skin (LELCS) is a rare malignant tumor thought to be of adnexal origin. Because of its rarity, treatment parameters have not been defined.
OBJECTIVE
To examine the role and success of Mohs micrographic surgery in the treatment of LELCS versus other forms of treatment previously documented in the literature.
METHODS/RESULTS: A review of the previous reported cases and their treatment outcomes was compared with the present case. Three of the 12 previously reported cases were incompletely treated with initial surgical management, with one patient subsequently dying of metastatic tumor. The present case was treated with Mohs micrographic surgery for recurrent LELCS, following initial treatment with electrodessication and curettage, and is without evidence of disease 20 months postoperatively.
CONCLUSION
LELCS may be successfully treated by Mohs micrographic surgery.
背景
皮肤淋巴上皮瘤样癌（LELCS）是一种罕见的恶性肿瘤，被认为起源于附属器。由于其罕见性，尚未确定治疗参数。
目的
探讨莫氏显微外科手术在治疗LELCS中的作用及成功率，并与文献中先前记录的其他治疗形式进行比较。
方法/结果：将先前报道的病例及其治疗结果与本病例进行回顾性比较。先前报道的12例病例中有3例初始手术治疗不彻底，其中1例患者随后死于转移性肿瘤。本病例最初采用电干燥刮除术治疗复发性LELCS，随后接受莫氏显微外科手术，术后20个月无疾病证据。
结论
莫氏显微外科手术可成功治疗LELCS。
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