真皮替代品在皮肤肿瘤重建手术中的应用:单中心经验。

IF 1.6 Q4 ONCOLOGY International Journal of Surgical Oncology Pub Date : 2017-01-01 Epub Date: 2017-07-02 DOI:10.1155/2017/9805980
Mariane Campagnari, Andrea S Jafelicci, Helio A Carneiro, Eduard R Brechtbühl, Eduardo Bertolli, João P Duprat Neto
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引用次数: 16

摘要

皮肤肿瘤切除后的重建手术具有挑战性。切除肿瘤后的治疗选择是植皮,局部带蒂和轴向皮瓣,或显微手术进行复杂和广泛的伤口矫正。最近,真皮替代品的使用已经扩展到皮肤肿瘤的重建手术。目标。报告在皮肤恶性肿瘤重建手术中使用真皮替代品的单中心经验和重建手术的结果。方法与结果。13例患者中男性7例(53.8%),平均年龄62.6岁。在诊断方面,基底细胞癌(BCC) 5例(38.5%),原位黑色素瘤2例(15.4%),隆突性皮肤纤维肉瘤2例(15.4%),鳞状细胞癌(SCC) 1例(7.7%),血管肉瘤1例(7.7%),内分泌癌(EC) 1例(7.7%)。最常见的损伤部位为头皮(53.8%)和下肢(23.1%)。7例(53.8%)采用NPWT, 6例(46.2%)采用布朗敷料。第一阶段最常见的并发症是伤口污染(38.5%)。二期植皮的平均时间为43.9天。3例(23%)患者肿瘤复发,1例死亡。结论。在肿瘤学中,真皮替代品的使用可以作为延长切除后重建的一种选择,提供良好的美学和功能结果。
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Dermal Substitutes Use in Reconstructive Surgery for Skin Tumors: A Single-Center Experience.

Reconstructive surgery following skin tumor resection can be challenging. Treatment options after removing the tumor are skin grafting, local pedicled and axial flaps, or microsurgery for complex and extensive wounds correction. Recently, the use of dermal substitutes has been extended to reconstructive surgery in cutaneous oncology. Objectives. To report both a single-center experience using dermal substitutes in reconstructive surgery for skin malignancies and reconstructive surgery's outcomes. Methods and Results. Among thirteen patients, seven (53.8%) were male with mean age of 62.6 years. Regarding diagnosis, there were five cases (38.5%) of basal cell carcinoma (BCC), two (15.4%) of melanoma in situ, two (15.4%) of dermatofibrosarcoma protuberans, one (7.7%) of squamous cell carcinoma (SCC), one (7.7%) of angiosarcoma, and one (7.7%) of eccrine carcinoma (EC). The most common site of injury was scalp (53.8%) and lower limbs (23.1%). Seven (53.8%) patients used NPWT and six (46.2%) patients underwent Brown's dressing. The most frequent complication of the first stage was wound contamination (38.5%). Average time to second-stage skin grafting was 43.9 days. Three (23%) patients developed tumor recurrence and one died. Conclusions. Use of dermal substitutes in oncology can be an option for reconstruction after extended resections, providing good aesthetical and functional results.

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来源期刊
CiteScore
3.70
自引率
0.00%
发文量
5
审稿时长
20 weeks
期刊介绍: International Journal of Surgical Oncology is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of surgical oncology.
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