面部巨大基底细胞癌手术切除及创面修复模式探讨  

Surgical Management and Reconstruction of Facial Giant Basal Cell Carcinoma

作　　者：帕提姑丽.吾斯曼 阿布都合肯.亚如拜克 艾尼瓦尔.米吉提 阿地力.莫明[1] 

机构地区：[1]新疆医科大学第一附属医院口腔医学中心颌面创伤正颌外科,新疆乌鲁木齐830054

出　　处：《口腔医学研究》2016年第12期1261-1264,共4页Journal of Oral Science Research

基　　金：国家自然科学基金(编号:30860317)

摘　　要：目的：直径5cm或更大的巨大基底细胞癌是非常罕见,在基底细胞癌皮肤恶性肿瘤中不足1%,目前全球几乎没有其发病率的研究、切除和重建方案。方法：针对我科收治的头颈部17例巨大基底细胞癌患者的手术切除和重建进行回顾性探讨和分析。结果：病变在额头,眼睑,嘴唇或鼻颊部者,5~6cm大小是最常见病灶,最大者直径范围从5~11cm。所有患者均行病灶切除及直接重建,主要采用局部皮瓣,术后未见皮瓣失败。结论：头颈部巨大基底细胞癌可以采用局部皮瓣修复重建。Objective：To explore the surgical management and reconstruction of facial giant basal cell carcinoma.Methods：Seventeen patients with giant basal cell carcinoma in the head and neck region undergoing surgical excision and reconstruction at our hospital were enrolled.Medical charts were retrospectively reviewed and analysed.Results：The lesion was usually in the forehead,eyelid,lips or nasal-cheek region.The diameter of the greatest ranged from 5to 11 cm,and 5-6cm was the most common size when diagnosed.All patients underwent synchronous tumor resection and reconstruction（mostly local advancement flap）with no postoperative flap failure.Conclusion：Giant basal cell carcinoma in the head and neck can be successfully treated with synchronous tumor resection and local advancement flap reconstruction.

关 键 词：巨大基地细胞癌 手术切除病灶 皮瓣重建缺损 

分 类 号：R739.5[医药卫生—肿瘤]