Skin pigmented lesions in the hands of an ambulatory surgeon.

Q4 Medicine Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI:10.48095/ccrvch2024381
Ondřej Troup, A Růžičková, A Koy, Vlastimil Woznica, Inka Třešková
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Abstract

The ambulatory surgeon deals daily with patients who come for various pigmented skin lesions. A number of patients come on the recommendation of a dermatologist, but for the majority of patients, the primary visit is directly to the surgical clinic. The reason for removing a pigmented lesion may be an unsatisfactory cosmetic appearance or frequent irritation due to inappropriate location of the lesion, but also the fear of the development of malignancy. Pigmented lesions of the skin are a very hetero-geneous group represented from benign nevi to malignant melanoma. They occur in all age groups. Congenital nevi and hemangiomas are most often treated at an early age, and the incidence of skin malignancies increases in older patients. The ambulatory surgeon is often faced with the decision whether and how radically the pigmented lesion needs to be removed. Skin lesions such as lentigo solaris do not need to be treated surgically. Other lesions, such as basal cell carcinoma, require radical excision and subsequent professional dispensary. However, the treatment of melanoma is complex, it is led by specialists in dermato-oncology centers and therefore interdisciplinary approach is neces-sary. Every ambulatory surgeon should be knowledgeable and experienced enough to be able to decide on the need for removal of pigmented lesions and, in case of uncertainty, refer the patient to a skin specialist. This article provides a brief overview and specifics of basic skin pigment manifestations and criteria for their surgical removal.

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门诊外科医生手上的皮肤色素损伤。
门诊外科医生每天都要处理各种色素性皮肤病变的病人。一些患者是在皮肤科医生的建议下来的,但对大多数患者来说,主要的就诊是直接去外科诊所。去除色素病变的原因可能是不满意的美容外观或由于病变位置不合适而经常受到刺激,但也可能是害怕恶性肿瘤的发展。皮肤色素病变是一个非常不同的群体,从良性痣到恶性黑色素瘤。它们发生在所有年龄组。先天性痣和血管瘤最常在早期治疗,皮肤恶性肿瘤的发病率在老年患者中增加。门诊外科医生经常面临是否以及如何彻底切除色素病变的决定。皮肤病变如扁豆不需要手术治疗。其他病变,如基底细胞癌,需要根治性切除和随后的专业诊疗。然而,黑色素瘤的治疗是复杂的,它是由皮肤科肿瘤中心的专家领导的,因此跨学科的方法是必要的。每个门诊外科医生都应该有足够的知识和经验,能够决定是否需要去除色素病变,在不确定的情况下,将患者转介给皮肤专家。本文提供了一个简要的概述和具体的基本皮肤色素的表现和标准,他们的手术切除。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Rozhledy v Chirurgii
Rozhledy v Chirurgii Medicine-Medicine (all)
CiteScore
0.50
自引率
0.00%
发文量
67
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