The perimeter technique for lentigo maligna: An alternative to Mohs micrographic surgery
The perimeter technique for lentigo maligna: An alternative to Mohs micrographic surgery
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DOI：
10.1002/jso.20284
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发表时间：
2005-08-01
影响因子：
2.5
通讯作者：
Temple, CLF
中科院分区：
文献类型：
--
作者：
Mahoney, MH;Joseph, M;Temple, CLF
背景：恶性Lentigo （LM）由于其广泛的亚临床扩散和对面部的偏爱，对完全手术切除提出了挑战。目的：报告我们使用分期周长技术替代Mohs显微摄影手术治疗LM的经验。方法：于2003年3月至2004年6月对11例LM患者行圆周手术治疗。通过图表回顾获得患者和病变特征、获得明确界限所需的分期数以及随访数据。结果：平均需要1.9个阶段才能达到明确的界限。每例患者平均7个组织标本送病理检查。平均随访4.7个月，所有患者均无复发。结论：周长法是一种简便的边缘控制切除LM的方法。主要优点是所有的边缘都是用永久切片检查的。主要的缺点是需要多次手术才能完成手术。这项技术不需要特殊的mohs培训，因此适用于非mohs外科医生。(c) 2005 Wiley-Liss, Inc。
Background: Lentigo maligna (LM) presents a challenge for complete surgical excision because of its extensive subclinical spread and predilection for the face.Objective: To report our experience using the staged perimeter technique as an alternative to Mohs micrographic surgery for treatment of LM. Methods: The perimeter procedure was performed on 11 patients with LM between March 2003 and June 2004. Data on patient and lesion characteristics, number of stages required to obtain clear margins, and follow-up was obtained by chart review.Results: A mean of 1.9 stages were required to achieve clear margins. A mean of 7 tissue specimens were sent to pathology per patient for evaluation. After a mean follow-up of 4.7 months, all patients were free of recurrence.Conclusions: The perimeter technique is a simple method of margin-controlled excision of LM. The main advantage is that all margins are examined with permanent sections. The main drawback is that multiple operative sessions are required to complete the procedure. This technique does not require specific Mobs training and is therefore applicable to non-Mohs surgeons. (c) 2005 Wiley-Liss, Inc.