慢Mohs显微描记术联合背阔肌肌皮瓣治疗躯干部巨大隆突性皮肤纤维肉瘤二例并文献复习  

Slow Mohs micrographic surgery combined with latissimus dorsi myocutaneous flap for the treatment of giant dermatofibrosarcoma protuberants on the trunk:two cases report and literature review

作　　者：谢凯 王红蕾 谢卫星 王学庆 曹楠 张广亮 武宜雷 XIE Kai;WANG Honglei;XIE Weixing;WANG Xueqing;CAO Nan;ZHNG Guangliang;WU Yilei(Hospital for Skin Diseases,Shandong First Medical University,Jinan 250022,China;Shandong Provincial Institute of Dermatology and Venereology,Shandong Academy of Medical Sciences,Jinan 250022,China)

机构地区：[1]山东第一医科大学附属皮肤病医院,山东济南250022 [2]山东省皮肤病性病防治研究所,山东济南250022

出　　处：《中国麻风皮肤病杂志》2025年第2期123-126,共4页China Journal of Leprosy and Skin Diseases

基　　金：山东省皮肤性病学临床医学研究中心。

摘　　要：目的:明确慢Mohs显微描记术联合背阔肌肌皮瓣治疗上躯干部巨大隆突性皮肤纤维肉瘤的疗效。方法:对采用慢Mohs显微描记术联合背阔肌肌皮瓣治疗的隆突性皮肤纤维肉瘤2例患者进行回顾性分析。结果:2例患者经一期慢Mohs手术后均获得阴性病理切缘,术后创面分别为10 cm×13 cm、15 cm×15 cm。均给予二期设计背阔肌肌皮瓣修复原发缺损,继发缺损直接闭合修复。患者皮瓣均全部成活,创面一期愈合。结论:慢Mohs显微描记术是治疗隆突性皮肤纤维肉瘤一线选择,肿瘤切除后躯干部大面积创面可采用背阔肌肌皮瓣修复创面。Objective:To access the efficacy of slow Mohs micrographic surgery combined with latissimus dorsi myocutaneous flap in the treatment of giant dermatofibrosarcoma protuberans of the upper trunk.Methods:The two patients with protuberant dermatofibrosarcoma treated with slow Mohs micrographic surgery combined with latissimus dorsi myocutaneous flap Were retrospectively analyzed.Results:Both patients achieved negative pathological margins after the first-stage slow Mohs surgery.The postoperative wounds were 10 cm×13 cm and 15 cm×15 cm,respectively.Both were treated with secondary design of latissimus dorsi myocutaneous flaps to repair the primary defects,and the secondary defects were sutured directly.Both patients flaps survived completely,and the wounds healed primarily.Conclusions:Slow Mohs micrographic surgery is a first-line choice for the treatment of dermatofibrosarcoma,and the latissimus dorsi myocutaneous flap can be used to repair large wound surfaces on the trunk after tumor resection.

关 键 词：隆突性皮肤纤维肉瘤 Mohs显微描记术 背阔肌肌皮瓣 

分 类 号：R73[医药卫生—肿瘤]