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恶性黑色素瘤切除边缘:1991年英国和爱尔兰的整形手术审计及综述

Malignant melanoma excision margins: plastic surgery audit in Britain and Ireland, 1991, and a review.

作者信息

Timmons M J

机构信息

Department of Plastic-Surgery, St Luke's Hospital, Bradford, UK.

出版信息

Br J Plast Surg. 1993 Sep;46(6):525-31. doi: 10.1016/0007-1226(93)90230-9.

DOI:10.1016/0007-1226(93)90230-9
PMID:8220863
Abstract

In 1991, 146 consultant plastic surgeons in Britain and Ireland were sent a short questionnaire about their policies for excision margins for primary cutaneous malignant melanoma. 106/146 (73%) replied. 39/106 (37%) considered narrow margin (2-3 mm) excision biopsies adequate in certain cases. The minimum tumour thickness for a margin of more than 1 cm was 1 mm or more for 67/106 (63%) on the leg and for 57/106 (54%) on the back. The maximum margin was specified as 4 cm or more on the leg by 37/106 (35%) and on the back by 42/106 (40%). Other sub-groups of results were analysed. A review of the literature is presented.

摘要

1991年,向英国和爱尔兰的146名整形外科顾问医生发送了一份关于原发性皮肤恶性黑色素瘤切除边缘策略的简短问卷。146人中有106人(73%)回复。106人中有39人(37%)认为在某些情况下,窄切缘(2 - 3毫米)切除活检就足够了。对于腿部的67/106(63%)和背部的57/106(54%),切缘超过1厘米时肿瘤的最小厚度为1毫米或更厚。37/106(35%)将腿部的最大切缘规定为4厘米或更厚,42/106(40%)将背部的最大切缘规定为4厘米或更厚。对其他结果亚组进行了分析。并呈现了文献综述。

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