Onychomatricomas：评估手术效果的 41 例系列研究。

IF 2.5 3区医学 Q2 DERMATOLOGY

Dermatologic Surgery Pub Date : 2024-12-01 Epub Date: 2024-06-26 DOI:10.1097/DSS.0000000000004306

Laura van de Borne, Mathilde Costantini, Florence Dehavay, Bertrand Richert

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引用次数: 0

摘要

背景：甲绒毛膜瘤（OM）是一种罕见的甲基质良性肿瘤。治疗方法是手术，但目前数据有限：回顾在其科室接受手术的所有 OM 病例，并评估甲板上的位置、病变的厚度和宽度与术后效果之间的联系：从他们科室的数据库中检索了62名患者25年（1998-2023年）的记录：结果：62 名患者中有 41 名符合条件。其中，58%的甲沟炎患者的甲板宽度为四分之一，51%的甲沟炎患者的甲板厚度小于 3 毫米，51%的甲沟炎患者的甲沟位于侧方。在纳入的 41 名患者中，29 人接受了切线切除术，12 人接受了侧向纵向切除术。切向切除组中，71%的患者指甲再生正常。厚度超过3毫米且累及甲板总宽度的甲癣有60%的病例会留下后遗症：结论：切向切除甲状腺瘤可使71%的病例指甲恢复正常生长。肿瘤厚度超过 3 毫米且涉及甲板总宽度时，出现后遗症的风险会增加。内侧或外侧位置似乎没有影响。

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Onychomatricomas: Assessing Surgical Outcomes.

Background: Onychomatricoma (OM) is a rare benign tumor of the nail matrix. Treatment is surgical, but data are currently limited.

Objective: To review all cases of OM operated in their department and to assess the link between the location on the nail plate, the thickness and width of the lesion, and the postoperative outcomes.

Materials and methods: Records of 62 patients were retrieved from their department's database over a 25-year period (1998-2023).

Results: Of the 62 patients, 41 were eligible. In total, 58% of OM occupied a width of a quarter of the nail plate, 51% had a plate thinner than 3 mm, and 51% were laterally located. Of the 41 patients included, 29 had a tangential excision and 12 underwent lateral longitudinal excision. Among the tangential excision group, 71% had normal nail regrowth. Onychomatricoma thicker than 3 mm and involving the total nail plate width had a sequelae in 60% of cases.

Conclusion: Tangential excision of onychomatricomas allows a normal nail regrowth in 71% of cases. The risk of sequelae increases for tumors thicker than 3 mm and involving the total nail plate width. Medial or lateral location seems to have no influence.

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来源期刊

Dermatologic Surgery 医学-皮肤病学

CiteScore

3.10

自引率

16.70%

发文量

547

期刊介绍： Exclusively devoted to dermatologic surgery, the Dermatologic Surgery journal publishes the most clinically comprehensive and up-to-date information in its field. This unique monthly journal provides today’s most expansive and in-depth coverage of cosmetic and reconstructive skin surgery and skin cancer through peer-reviewed original articles, extensive illustrations, case reports, ongoing features, literature reviews and correspondence. The journal provides information on the latest scientific information for all types of dermatologic surgery including: -Ambulatory phlebectomy- Blepharoplasty- Body contouring- Chemical peels- Cryosurgery- Curettage and desiccation- Dermabrasion- Excision and closure- Flap Surgery- Grafting- Hair restoration surgery- Injectable neuromodulators- Laser surgery- Liposuction- Microdermabrasion- Microlipoinjection- Micropigmentation- Mohs micrographic surgery- Nail surgery- Phlebology- Sclerotherapy- Skin cancer surgery- Skin resurfacing- Soft-tissue fillers. Dermatologists, dermatologic surgeons, plastic surgeons, oculoplastic surgeons and facial plastic surgeons consider this a must-read publication for anyone in the field.