关键词: basal cell carcinoma eyelid tumours oculoplastic surgery radiotherapy

Mesh : Humans Eyelid Neoplasms / surgery Neoplasm Recurrence, Local Female Male Plastic Surgery Procedures / methods Middle Aged Aged Postoperative Complications / etiology Adult Aged, 80 and over Eyelids / surgery

来  源:   DOI:10.3390/curroncol31040130   PDF(Pubmed)

Abstract:
The eyelids are a common site for skin tumours and account for 5-10% of all skin tumours. Treatment is mainly surgical and aims to preserve the anatomical structure of the eyelid, its function and not least its aesthetic appearance.
Presentation of recurrence and complication rates of tumour-related eyelid surgery in a cohort of 450 tumours.
Analysis of a cohort of 450 tumours operated on revealed 13 (2.8%) operations with recurrences and 32 (7%) with complications. The statistical significance of recurrences was observed for the involved and uninvolved ciliary margin. At the temporal canthus, 23.1% of recurrences occurred compared to 7.7% at the medial canthus. SGC has the highest recurrence rate. Complications include the following: ectropion, dehiscence, gross cicatrix with normal function, retraction, post-radiation damage, sub-graft haemorrhage and graft rejection.
The recurrence rate of eyelid tumours is lower than that of complications. The choice of surgical technique determines the frequency of complications and histological control of the excised tissue, as well as the frequency of recurrences.
摘要:
背景:眼睑是皮肤肿瘤的常见部位,占所有皮肤肿瘤的5-10%。治疗主要是手术,旨在保留眼睑的解剖结构,它的功能,尤其是它的美学外观。
目的:在一组450例肿瘤中,肿瘤相关眼睑手术的复发率和并发症发生率。
结果:对一组450例手术肿瘤的分析显示,有13例(2.8%)手术复发,32例(7%)并发症。对于受累和未受累的睫状缘,观察到复发的统计学意义。在颞骨,23.1%的复发发生,而内侧can为7.7%。SGC的复发率最高。并发症包括:外翻,开裂,功能正常的毛瘢痕,撤回,辐射后损伤,移植物下出血和移植物排斥。
结论:眼睑肿瘤的复发率低于并发症。手术技术的选择决定了并发症的发生频率和切除组织的组织学控制,以及复发的频率。
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