Hong Kong Dermatology & Venereology Bulletin

Volume 11 Number 2, Summer 2003
Abstract

Surgical management of cutaneous tumour: part I
皮膚腫瘤的外科診治:第一部份

ECK Chan 陳祖鈞

The skin is the largest organ of the body, and tumours of the skin represent a significant proportion of workload to dermatologists, plastic surgeons and other clinicians. Since cutaneous tumours are superficial and can be easily accessed, surgical procedures for diagnosis and treatment are commonly the first steps of management. The amount and extent of surgery done by an individual clinician vary according to one's experience and preference as well as the patient's perspective. The nature of the tumour, the location and underlying structure as well as the physical and psychological condition of the patients are to be seriously weighed. This article is divided into two parts, the principles of using different skin biopsy methods for diagnosis, the technique of excision and closure will be addressed in the first part while skin grafting and flap reconstruction that may be required when the defect cannot be closed primarily, the choice of suture material, the commonly encountered malignant and benign tumours will be discussed in the second part. (H.K. Dermatol. Venereol. Bull. (2003) 11, 58-66)

皮膚是身體的最大器官,而皮膚腫瘤的診治也是皮膚科專科醫生、整形外科醫生及其他醫生的重要工作。由於皮膚腫瘤位置表淺,故外科手術常為首項診治程序。手術的規模和程度取決於手術者的經驗和患者的意見。然而,腫瘤的性質及部位、鄰近的組織結構與及患者的身心狀況均需慎重考慮。本文分兩部份,首部份論述不同活檢法的選取原則及切除與縫合技巧;次部份論述當未能作一期縫合時所需的植皮及皮蒂重組術、材料選用與及常見的惡性及良性腫瘤。

Keywords : Cutaneous tumour, surgical management

關鍵詞:皮膚腫瘤,外科診治



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