论文部分内容阅读
目的探讨颌面部皮肤基底鳞状细胞癌(BSC)的病理诊断及治疗方法。方法回顾性分析5例颌面部皮肤BSC资料。结果5例均手术切除病灶,同期邻近皮瓣修复,并经病理检查均诊断为混合型BSC,术后伤口Ⅰ期愈合,皮瓣成活100%。随访1～6年,1例复发再次手术;其余病例未发现肿瘤转移及局部复发,面部外形及功能满意。结论BSC临床表现同基底细胞癌,病理切片检查是唯一的诊断方法。采用术中快速病理监控下的病灶根冶,同期邻近皮瓣修复是一种行之有效的治疗方法。
Objective To investigate the pathological diagnosis and treatment of maxillofacial skin base squamous cell carcinoma (BSC). Methods A retrospective analysis of 5 cases of maxillofacial skin BSC data. Results All the 5 cases were surgically removed and the adjacent flaps were repaired. All the patients were diagnosed as mixed BSC by pathological examination. The wounds were healed by first intention and the flaps survived by 100%. Followed up for 1 to 6 years, 1 case of recurrent reoperation; the remaining cases did not find tumor metastasis and local recurrence, facial shape and function satisfactory. Conclusions The clinical manifestations of BSC are the same as those of basal cell carcinoma and pathological examination. The use of intraoperative rapid pathological lesions under the root of rule, the same period adjacent flap repair is an effective treatment.