对头颈部角化细胞癌莫氏显微摄影手术的结果和复发的评估

Q4 Medicine

Piel Pub Date : 2025-10-01 DOI:10.1016/j.piel.2025.02.007

Gerardo Tomás Asaf , María Fernanda Montesinos , Gustavo Alejandro Eiben , Andrea Paes de Lima , María Carolina Llopis Fernández , Diego Luis Sinagra

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引用次数: 0

摘要

背景：在光暴露区域，角化癌的发病率持续上升，这对实现肿瘤安全边缘以及在某些情况下，具有良好美学和功能效果的塑料重建，特别是头颈部区域，是一个挑战。本文的目的是描述Mohs显微摄影手术（MMS）治疗头颈部角化癌患者的手术和随访结果。方法：我们纳入了2014年至2022年期间接受MMS的连续系列患者，这些患者患有头颈部癌，并完成了病理和随访登记。结果共纳入92例，病变123例；91.8%为基底细胞癌。108个病灶位于面部，其中62%位于高危区(H)。在16.4%的病例中，第一环边缘在冷冻切片上呈阳性，随后进行了切除；两例患者的边缘在最终病理结果上呈阳性。随访期间，4例患者5例复发；他们都接受了MMS治疗。结论MMS治疗原发性和复发性头颈部角化性皮肤癌患者具有良好的肿瘤预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Evaluación de resultados y recaídas en cirugía micrográfica de Mohs para carcinomas queratinocíticos de cabeza y cuello

Background

Keratinocitic carcinomas in photoexposed areas incidence rates are continuing to increase, and represent a challenge to achieve oncological safe margins and, in some cases, the plastic reconstructions with good esthetic and functional results, especially on the head and neck region. The aim of this article is to describe the surgical and follow-up outcomes of patients with head and neck keratinocitic carcinomas treated with Mohs micrographic surgery (MMS).

Methods

We included a consecutive series of patients undergoing MMS between 2014 and 2022, with carcinomas of the head and neck and complete pathology and follow-up registries.

Results

92 patients with 123 lesions were included; 91.8% with basal cell carcinoma. A hundred and eight lesions were located on the face, of which 62% were on the high-risk area (H). In 16.4% cases the margins of the first ring were positive on the frozen section and a subsequent excision was performed; in two patients the margins were positive on the final pathology result. During follow-up 5 recurrences were detected in four patients; they were all treated with MMS.

Conclusion

In our series patients treated with MMS for primary and recurrent keratinocitic skin cancers of the head and neck had excellent oncological outcomes.

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来源期刊

Piel Medicine-Dermatology

CiteScore

0.10

自引率

0.00%

发文量

179

审稿时长

47 days

期刊介绍： La mejor revista para incrementar eficazmente sus habilidades diagnósticas y clínicas en dermatología, por la alta calidad de sus imágenes e iconografías, por el prestigio de sus colaboradores y por la actualidad de sus temas. Una publicación de máxima utilidad práctica para Especialistas y Profesionales de Atención Primaria.