颌面部皮肤基底鳞状细胞癌的病理诊断及治疗  

Clinical and pathological analysis of basosquamous carcinoma in maxillofacial area

作　　者：尹通广[1] 殷之平[2] 

机构地区：[1]滨海县人民医院口腔科,224500 [2]无锡市人民医院口腔科

出　　处：《江苏医药》2009年第8期916-918,共3页Jiangsu Medical Journal

摘　　要：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 summerize the diagnosis and management of basosquamous carcinoma （BSC） on maxillofacial skin. Methods Data of 5 patients with BSC in maxillofacial area were analyzed retrospectively. Results All 5 cases were operated with fine wound healings and 100% flaps survival. The pathological diagnosis of 5 cases was mixed BSC. The patients were followed-up for 1 to 6 years. One case locally relapsed and reoperated. Up to now, all petients had no signs of tumor metastasis and facial function and appearance were satisfactory. Conclusion Skin BSC is rare and its clinical manifestations were similar to the basal cell carcinoma. Biopsy is the only diagnostic method. The frozen section margin control in radical operation and one-stage reconstruction with local flaps are feasible.

关 键 词：基底鳞状细胞癌 颌面部 

分 类 号：R739[医药卫生—肿瘤]