皮肤影像学检查在常见非黑素皮肤癌手术中的应用进展-《中国美容医学》

文章信息/Info

Title:: Application of Skin Imaging Examination in Surgery for Non-melanotic Skin Cancer

Author(s):: ZHAN Shengxia; WAN Xuefeng; (Department of Dermatology, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, Xinjiang, China)

Keywords:: non-melanoma skin cancer; high frequency ultrasound; dermoscopy; CT skin; optical coherence tomography

摘要:: 目前常见非黑素皮肤癌（Non-melanotic skin cancer,NMSC）的首选治疗是手术切除，精准确定肿瘤边界对于彻底切除肿瘤、最大限度保留皮肤功能及美容至关重要。随着对NMSC术前边界无创检测方法研究的逐渐深入，皮肤高频超声（High frequency ultrasound,HFUS）、皮肤镜、皮肤CT和光学相干断层扫描成像技术（Optical coherence tomography,OCT）在一定程度上可以为术者评估手术切缘提供依据。但上述无创检测方法各有其优缺点，临床上可通过联合应用实现手术精准治疗，取得更好的疗效。本文就国内外皮肤影像学检查在确定肿瘤边界方面的研究进展综述如下。

Abstract:: At present, the fi rst choice for common non-melanotic skin cancer is surgical resection. Accurate determination of tumor boundary is crucial for complete tumor resection, maximum preservation of skin function and cosmetic treatment. With the development of non-invasive detection methods of NMSC preoperative boundary, skin high-frequency ultrasound (HFUS), dermoscopy, skin CT and optical coherence tomography (OCT) can provide basis for operators to evaluate the surgical margin to a certain extent.However, the above non-invasive detection methods have their own advantages and disadvantages. Clinically, accurate surgical treatment can be realized through combined application to achieve better curative effect.This article reviews the research progress of skin imaging examination in determining tumor boundary at home and abroad as follows