皮肤镜在辅助确定鼻部基底细胞癌Mohs显微描记手术边缘的应用

Application of Dermoscope in Auxiliary Determination of the Margins of Mohs Micrographic Surgery for Nasal Basal Cell Carcinoma

摘要: 目的：本研究是为了确认鼻部基底细胞癌进行皮肤镜和Mohs手术治疗的实际应用。方法：本研究选择了经过病理学检验的基底细胞癌病人，运用皮肤镜和Mohs手术来决定初次切掉肿瘤边缘的间距。结果：与传统的肉眼确认Mohs切除边缘比较，使用皮肤镜和Mohs手术并用，长期Mohs手术(MMS)送检的次数和手术时间都有降低。结论：在进行鼻部基底细胞癌的Mohs手术治疗过程中，皮肤镜帮助确定肿瘤边界和首次切除的范围，可以减少Mohs的检查次数，减少手术时间，并降低治疗成本，是提升Mohs手术的有效方式。

Abstract: Purpose: This paper focuses on identifying the combination of dermoscope and Mohs surgery clini-cally used to treat nasal basal cell carcinoma. Method: The suggested approach involves gathering data from patients who have been pathologically confirmed to have nasal basal cell carcinoma. The distance between the primary incisal margin and tumor margin will then be determined using a combination of a dermoscope and Mohs technique. Result: The result obtained in this research is that compared with traditional visual determination applied to identify Mohs excision edges, the combination of dermoscope and Mohs has fewer inspections and less surgical time. Conclusion: The experimental results show that using dermoscope to assist in determining the tumor margin and the initial margin during Mohs micrographic surgery for nasal basal cell carcinoma can decrease inspections, shorten surgery time, and reduce treatment costs. It is an efficient measurement to improve Mohs surgery.