确定皮肤恶性肿瘤边界方法的研究进展

Research advances in determining the excisional margins of cutaneous malignant tumors

  • 摘要: 皮肤恶性肿瘤的首选治疗方式是手术切除,精准确定边界对于彻底切除肿瘤、保护健康组织具有重要意义。本文综述了目前常用的判断皮肤恶性肿瘤边界的方法,包括外科医生视触判断、术前术中病理学检测、莫氏手术、影像学检查等,也对反射共聚焦显微镜、光学相干层析成像、近红外荧光成像等处于试验探索中的新方法进行了归纳总结。

     

    Abstract: The primary treatment for cutaneous malignant tumors is surgical resection.Accurate determination of the margin is of great significance for the complete removal of tumors and preserving healthy tissues.This article reviews the common methods to determine the margin of cutaneous malignant tumor,including surgeon judgment,intraoperative pathology,Mohs surgery,imaging examinations,and summarizes some new means in the exploration such as reflectance confocal microscopy,optical coherence tomography and intraoperative near-infrared imaging.

     

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