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目的:探讨界限清楚的面部色素型基底细胞癌窄缘切除术的可靠性。方法:选择2010年2月-2015年3月笔者科室就诊的64例界限清楚的面部原发性色素型基底细胞癌患者,所有病变手术切除边界分别为2mm和4mm,并进行数据分析。结果:64例患者中,肿瘤直径均小于1cm,34例(53.12%)采用窄缘切除(2mm)和30例(46.88%)采用广泛切缘(4mm)。采用窄缘边界切除术仅1例患者可见肿瘤阳性边缘,窄缘切除手术的完整切除率为97.06%,两组差异无统计学意义(P=1.00)。结论:窄缘切除手术是治疗直径小于1cm界限清楚的面部原发性色素型基底细胞癌的可靠治疗方法,值得临床推广应用。
OBJECTIVE: To investigate the reliability of clear-cut facial pigmented basal cell carcinoma of the neck. Methods: From February 2010 to March 2015, 64 cases of well-defined facial primary pigmented BCC in our department were selected. The surgical resection margin of all lesions were 2mm and 4mm, respectively, and the data were analyzed. Results: Tumors were smaller than 1 cm in 64 patients, narrow margin (2 mm) in 34 patients (53.12%) and extensive margin (4 mm) in 30 patients (46.88%) in 64 patients. Only 1 patient with narrow border margin showed tumor-positive margin. The complete resection rate was 97.06%. There was no significant difference between the two groups (P = 1.00). Conclusion: Surgical resection is a reliable treatment for facial primary pigmented basal cell carcinoma with a clear diameter of less than 1 cm, which is worthy of clinical application.