高龄患者面部非黑素瘤皮肤癌手术扩大切除的可行性评估<br />-《中国美容医学》

文章信息/Info

Title:: Feasibility Assessment of Extended Resection of Facial Non Melanoma Cell
Carcinoma in Elderly Patients

Author(s):: HONG Yong-long¹; WANG Zhou-tao¹; XIE Li-kun¹; ZHANG Jin-ge¹; LUO Zheng-wen¹; SUI Wen²

Keywords:: Key words:nonmelanoma shin cancer; extant excision; local skin flap; elderly; comorbidity

摘要:: [摘要]目的：研究针对80岁以上高龄患者，采用病灶扩大切除术加局部皮瓣转移修补的可行性。方法：本研究收集了2016年
6月-2019年12月在笔者科室治疗的符合纳入标准的11例80岁以上高龄的非黑素瘤患者。术前按Charlson法评估高龄患者的全
身合并症。选用全身麻醉下病灶扩大切除加局部转移皮瓣修复手术治疗，术后随访1～2年。结果：术中扩大切除瘤体并根据
瘤体生长部位及组织缺损的大小设计各类邻近皮瓣修复,所有患者均安全耐受手术。随访中2例患者1年后因合并症离世。其
余患者均未见局部肿瘤的复发，并对术后的面部外形表示满意。结论：全身麻醉下病灶扩大切除加局部转移皮瓣修补，可在
兼顾患者手术预后和外观恢复的前提下降低手术难度，提高手术的安全性。并能有效减低术后肿瘤的复发及获得满意的术后
面容，对于高龄患者是可靠和适用的。

Abstract:: Abstract: Objective Nonmelanoma shin cancer (NMSC) is the most common form of skin cancer and its incidence is still
rising worldwide. Surgery is the most frequently used treatment for NMSC. We sought to determine whether treatment of
patients aged 80 years and older with NMSC by extant excision and local skin flap changed their survival. Methods Between
June 2016 and December 2019, 11 patients with primary NMSC wereadmitted to hospital. Comorbidity medical condition
was assessed using the Charlson index. All patients were treated by surgical extant excision and local skin flap. Tumorshad a
follow-up of 1-2years. Results According to the size,shape, position of the defect,appropriate local flaps were designed for
the primary surgical repair after complete tumor removal. All patients tolerated the procedures well.The patients were followed
up for one-two years,and only two patients died caused by comorbidity after one year. There was not tumor recurrence.
The treatment also attained satisfactory cosmetic outcomes. Conclusion Surgicalexcisionand local flap are preferred for the
treatment of facial NMSC, on the basis of,safe procedure, significantly fewer recurrences and satisfactory facial appearance
after operation, especial for elderly.