| 摘要: |
| ［摘要］ 目的 探讨13例头皮鳞状细胞癌（SCC）侵袭至骨膜患者的手术治疗方法与效果。方法 收集南京中医药大学附属鼓楼临床医学院2010年1月至2020年12月收治的13例头皮SCC侵袭骨膜并行手术治疗的患者资料（包括病历、影像、病理等资料），手术治疗方式均为皮肤肿瘤切除术+颅骨外板磨削术+局部皮瓣转移术+植皮术。结果 13例患者术后均恢复良好，随访1年，10例患者生存状态良好，无复发及转移迹象，疗效满意；1例患者多处复发转移，半年后死亡；2例患者植皮区成活欠佳，行二期手术后愈合良好。结论 当头皮SCC侵袭至骨膜时，颅骨外板部分或全部磨除可有效减少肿瘤的复发。 |
| 关键词: 头皮鳞状细胞癌 骨膜 颅骨 外板 |
| DOI：10.3969/j.issn.1674-3806.2022.06.13 |
| 分类号:R 622+.9 |
| 基金项目: |
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| An exploration on the surgical treatment methods and results in 13 patients with scalp squamous cell carcinoma invading periosteum |
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XU Yu-wei, CAO Yun, WEN Bo, et al.
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Gulou Clinical Medical College Affiliated to Nanjing University of Chinese Medicine, Jiangsu 210000, China
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| Abstract: |
| ［Abstract］ Objective To explore the surgical treatment methods and results in 13 patients with scalp squamous cell carcinoma(SCC) invading periosteum. Methods The data(including medical records, images, pathology, etc.) of 13 patients with scalp SCC invading periosteum and undergoing surgical treatment were collected from Gulou Clinical Medical College Affiliated to Nanjing University of Chinese Medicine during January 2010 and December 2020. The surgical treatment methods were skin tumor resection+skull outer plate grinding+local skin flap transfer+skin grafting. Results All the 13 patients recovered well after surgery. After one year of follow-up, 10 patients were in good condition with no signs of recurrence and metastasis, and the curative effect was satisfactory. One patient had multiple recurrences and metastases, and died half a year later. Two patients had poor survival in the graft area, and healed well after the second-stage operation. Conclusion When scalp SCC invades periosteum, partial or complete removal of the outer skull plate can effectively reduce the recurrence of the tumor. |
| Key words: Scalp squamous cell carcinoma(SCC) Periosteum Skull Outer plate |
