中华皮肤科杂志 ›› 2007, Vol. 40 ›› Issue (2): 77-79.

• 论著 • 上一篇    下一篇

手术治疗162例基底细胞癌临床分析

吴信峰, 方方, 赵亮, 王强, 王焱   

  1. 中国医学科学院、中国协和医科大学皮肤病研究所 南京 210042
  • 收稿日期:2006-02-21 发布日期:2007-02-15

Surgical treatment of basal cell carcinoma:a retrospective analysis of 162 patients

WU Xin-feng, FANG Fang, ZHAO Liang, WANG Qiang, WANG Yan   

  1. Department of Dermatologic Surgery, Institute of Dermatology, Chinese Academy of Medical Sciences & Peking Union Medical College, Nanjing 210042, China
  • Received:2006-02-21 Published:2007-02-15

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摘要： 目的 探讨基底细胞癌的一般发病规律、好发部位、常见复发部位和手术治疗的治愈率.方法 对162例基底细胞癌患者分别采用不同术式治疗的情况进行回顾性分析.结果 162例基底细胞癌中,年龄50岁以上者119例,占73.5%;肿瘤单发者156例,占96%.肿瘤好发部位依次是面颊、鼻部、头皮、躯干、口周、眼睑等.肿瘤复发率为6.3%(13/162),易复发部位依次为鼻部、口周,其次是眼睑、头皮.结论 手术治疗基底细胞癌治愈率高,复发率低,仍应作为本病首选治疗方法.手术方式与疗效、复发间无明显相关性.

关键词: 癌, 基底细胞, 外科手术

Abstract: Objective To evaluate the onset rules,predilection sites,common relapse sites and surgical outcomes of basal cell carcinoma (BCC).Methods A retrospective study was performed of 162 patients with basal cell carcinoma admitted to Institute of Dermatology,Chinese Academy of Medical Sciences & amp;Peking Union Medical College between 1987 and 2005.Results Of the 162 patients with basal cell carcinoma,119 (73.5%) were older than 50 years,156 (96%) had a solitary lesion.The most frequently affected sites,in descending order,were the cheek,nose,scalp,trunk,perioral,and eyelids.During the 1-3 year follow-up period,local recurrence occurred in 13 (6.3%) patients.The recurrence sites included nose (n=7),perioral (n=4),eyelids (n=1),and scalp (n=1).Conclusions Surgical treatment is a highly effective treatment for basal cell carcinoma and should continue to be the treatment of choice in most cases.No significant correlation was observed between operation strategies and prognosis.

Key words: Carcinoma, basal cell, Surgery procedures