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目的探讨皮肤3种常见恶性肿瘤根治术术前评估切除范围确定方法的依据。方法术前采用皮肤外科医师有治疗目的的多点取材作病理组织活检并结合显微镜阅片观察、测量肿瘤组织浸润距远端距离与深度来指导评估手术切除范围,同时在术后对切除的肿瘤组织进行病理学检查。结果 19例常见的3种皮肤恶性肿瘤术中一次性切除肿瘤的边缘组织部分均未有肿瘤细胞,其术前评估手术切除范围与术中一次性切除肿瘤组织病理学检查结果相符合。结论术前多点取材作病理组织活检用于评估皮肤恶性肿瘤手术切除范围具有较好的临床实用性。
Objective To investigate the basis of preoperative assessment of resection scope of three kinds of common malignant tumors of the skin. Methods Preoperative use of multi-point surgical specimens taken by skin surgeons for pathological biopsy combined with microscopic observation, measurement of tumor infiltration distance and depth to guide the assessment of the surgical resection range, and at the same time after resection of the tumor Tissue pathological examination. Results There were no tumor cells in the marginal tissues of 19 cases of common skin cancers. The range of surgical resection was in line with the results of one-time resection of tumor histopathology. Conclusion Preoperative multi-point biopsy for pathological tissue biopsy to evaluate the scope of resection of skin malignancies have good clinical practice.