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Mohs Micrographic Surgery at the Skin and Cancer Foundation Australia, 20 Years Later (1997-2017).
20 年后 (1997-2017),澳大利亚皮肤和癌症基金会的Mohs显微外科手术。
- 影响因子:1.25
- DOI:10.1097/DSS.0000000000002010
- 作者列表:"Stewart TJ","Moreno Bonilla G","Venning VL","Lee S","Fernandez-Peñas P
- 发表时间:2020-02-01
Abstract
BACKGROUND:The availability of Mohs micrographic surgery (MMS) in Australia has increased dramatically since its inception in the 1980s. OBJECTIVE:This study aimed to describe the evolution of MMS practices at the Skin and Cancer Foundation Australia (SCFA) over the past 20 years (1997-2017). METHODS:Retrospective analysis of Mohs surgery cases at SCFA in 2017, 2007, and 1997, comparing data on sex, age, tumor type and site, initial tumor and final defect size, number of surgical stages and sections, and closure management. The present study is limited by being a retrospective analysis from a single institution. RESULTS:There was a 415% increase in the number of Mohs surgery cases from 1997 to 2017, and a significant increase in Mohs surgery-treated squamous cell carcinoma. The preoperative tumor and final defect size have decreased. More side-to-side closures and fewer grafts are being performed over time. LIMITATIONS:Retrospective analysis from a single institution. CONCLUSION:Over the last 20 years, MMS has remained appropriate in its application and is being increasingly used for treatment of squamous cell carcinoma suggesting improved access.
摘要
背景: 自 20 世纪 80 年代开始以来,澳大利亚Mohs显微外科手术 (MMS) 的可用性急剧增加。 目的: 本研究旨在描述过去 20 年 (1997-2017) 澳大利亚皮肤和癌症基金会 (SCFA) MMS实践的演变。 方法: 回顾性分析 2017 、 2007 、 1997 SCFA处Mohs手术病例,比较性别、年龄、肿瘤类型和部位、初始肿瘤和最终缺损大小等资料,手术分期和切片的数量,以及闭合管理。本研究受限于来自单个机构的回顾性分析。 结果: 从 1997 年到 2017 年,Mohs手术病例数增加了 415%,Mohs手术治疗的鳞状细胞癌显著增加。术前肿瘤和最终缺损大小均减小。随着时间的推移,正在进行更多的侧对侧闭合和更少的移植物。 局限性: 来自单个机构的回顾性分析。 结论: 在过去的 20 年里,MMS在其应用中仍然是合适的,并且越来越多地用于鳞状细胞癌的治疗,提示改善了访问。
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皮肤肿瘤是发生在皮肤的细胞增生性疾病,是一种常见病。发生于皮内或皮下组织的新生物,种类很多,临床上分良性肿瘤和恶性肿瘤。恶性肿瘤可以不断增殖,引起转移,威胁生命,称为皮肤癌。