皮肤影像技术辅助确定基底细胞癌手术切缘的应用进展  

Application of skin imaging techniques in determining surgical margins of basal cell carcinoma

作　　者：左墨 刘国艳 Zuo Mo;Liu Guoyan(Shandong Provincial Hospital for Skin Diseases&Shandong Provincial Institute of Dermatology and Venereology,Shandong First Medical University&Shandong Academy of Medical Sciences,Jinan 250022,China;School of Clinical Medicine,Weifang Medical University,Weifang 261000,Shandong,China)

机构地区：[1]山东第一医科大学附属皮肤病医院,山东省皮肤病医院,山东省皮肤病性病防治研究所,济南250022 [2]潍坊医学院临床医学系,潍坊261000

出　　处：《中华皮肤科杂志》2024年第9期850-852,共3页Chinese Journal of Dermatology

摘　　要：莫氏显微外科手术(MMS)能实现术中肿瘤边界完整的组织学检查,尽可能多地保留正常组织,降低复发率,是基底细胞癌(BCC)的一线治疗方案。皮肤影像技术可用于术前描绘BCC肿瘤边缘,实现术前应用无创技术进行手术切缘的标记,提高MMS的一次成功率,减少多期MMS手术成本,并降低复发率。本文综述皮肤影像技术辅助确定BCC手术切缘的应用进展。Mohs micrographic surgery(MMS),the first-line treatment of basal cell carcinoma(BCC),can help realize a complete histological examination of tumor borders during operation,thereby reserve as many normal tissues as possible,and reduce the recurrence rate.Skin imaging techniques can be used to describe the tumor edge of BCC before operation,realize the marking of surgical margins by using non-invasive technologies before operation,improve the first-time success rate of MMS,reduce the cost of multi-stage MMS operation,and reduce the recurrence rate.This review summarizes the progress in the application of skin imaging techniques in determining surgical margins of BCC.

关 键 词：肿瘤 基底细胞 Mohs外科手术 皮肤镜检查 显微镜检查 共焦 体层摄影术 光学相干 高频超声 多光谱光声断层成像 手术切缘 

分 类 号：R739.5[医药卫生—肿瘤]