中华皮肤科杂志 ›› 2020, Vol. 53 ›› Issue (5): 371-372.doi: 10.35541/cjd.20190300

• 皮肤外科 • 上一篇    下一篇

改良Mohs显微描记手术治疗Merkel细胞癌二例

李珍    杨淑霞   

  1. 北京大学第一医院皮肤科  100034 李珍现在韶关市第一人民医院皮肤科,广东  512000
  • 收稿日期:2019-02-13 修回日期:2019-12-18 发布日期:2020-04-30
  • 通讯作者: 杨淑霞 E-mail:yangshuxia@bjmu.edu.cn

Two cases of Merkel cell carcinoma treated with modified Mohs micrographic surgery

Li Zhen, Yang Shuxia   

  1. Department of Dermatology, Peking University First Hospital, Beijing 100034, China
    Li Zhen is working on the Department of Dermatology, The First People′s Hospital of Shaoguan, Shaoguan 512000, Guangdong, China
  • Received:2019-02-13 Revised:2019-12-18 Published:2020-04-30
  • Contact: Yang Shuxia E-mail:yangshuxia@bjmu.edu.cn

摘要: 【摘要】 Mohs显微描记手术是切除皮肤肿瘤的理想术式。本文2例Merkel细胞癌患者行改良Mohs显微描记手术切除肿瘤,随访1年余,肿瘤未复发。与传统扩大切除术相比,改良Mohs手术是Merkel 细胞癌患者更好的选择。

关键词: 癌, Merkel细胞; Mohs外科手术; 改良Mohs显微描记手术

Abstract: 【Abstract】 Surgical resection is the preferred treatment of Merkel cell carcinoma, and Mohs micrographic surgery is an ideal method for resecting skin tumors. Intraoperative frozen pathological section in traditional Mohs surgery is changed into paraffin-embedded pathological section in modified Mohs micrographic surgery, which is more suitable for highly malignant tumors. In this article, two elder patients with Merkel cell carcinoma both received modified Mohs micrographic surgery for the excision of tumors. During more than 1 year of follow-up, no recurrence was observed. Compared with traditional extended resection, modified Mohs micrographic surgery is a better choice for patients with Merkel cell carcinoma.

Key words: Carcinoma, Merkel cell, Mohs surgery, Modified Mohs micrographic surgery