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논문KCI 등재

안면 피부암의 임상적 고찰

Clinical Study of Facial Skin Cancer

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주제분류이비인후과학

초록

Malignant skin cancer is the most common type of malignancy, and is frequently found and increasing nowadays. Surgery for removal of skin cancer is very important. The authors had good results from surgery and reconstruction of facial defect. The effective surgical method and variable method of reconstruction are described here with a clinical analysis. Subjects and Method:19 patients who were diagnosed facial skin cancer were divided by age, sex, type of cancer, region, and reconstruction method, and they were analyzed retrospectively. Results:Of the 19 patients, squamous cell carcinomas were 5, basal cell carcinomas 11, and Merkel cell carcinoma 2. One patient had basosquamous cell carcinoma. Sites of skin cancer occurrence was nasal region (11 patients), auricular region (4 patients), cheek (2 patients) and preauricle (2 patients). Reconstruction was done right after the excision. There was no recurrence cases to date. Conclusion:The authors had good results regarding reconstruction following the excision of the skin cancer. Therefore, every physician have to consider this method as a treatment of skin cancer, and think of as many reconstruction methods as possible for the patient. (Korean J Otorhinolaryngol- Head Neck Surg 2008;51:1043-6)

Abstract

Malignant skin cancer is the most common type of malignancy, and is frequently found and increasing nowadays. Surgery for removal of skin cancer is very important. The authors had good results from surgery and reconstruction of facial defect. The effective surgical method and variable method of reconstruction are described here with a clinical analysis. Subjects and Method:19 patients who were diagnosed facial skin cancer were divided by age, sex, type of cancer, region, and reconstruction method, and they were analyzed retrospectively. Results:Of the 19 patients, squamous cell carcinomas were 5, basal cell carcinomas 11, and Merkel cell carcinoma 2. One patient had basosquamous cell carcinoma. Sites of skin cancer occurrence was nasal region (11 patients), auricular region (4 patients), cheek (2 patients) and preauricle (2 patients). Reconstruction was done right after the excision. There was no recurrence cases to date. Conclusion:The authors had good results regarding reconstruction following the excision of the skin cancer. Therefore, every physician have to consider this method as a treatment of skin cancer, and think of as many reconstruction methods as possible for the patient. (Korean J Otorhinolaryngol- Head Neck Surg 2008;51:1043-6)

참고문헌 (10)

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  3. Seo JJ, "A clinical observation of cutaneous malignant tumors over 10 years (1987-1996, chonnam province)", Korean J Dermatol, 36(5), pp.812~819 (1998)
  4. Robbins P, "Chemosurgery and it application", Hospital Med, 8, pp.56~70 (1997)
  5. 오창근, "피부 악성종양의 Mohs 수술후 결손부의 즉시 재건술", 대한피부과학회지, 41(1), pp.29~36 (2003), 대한피부과학회
  6. Goldberg DP, "Assessment and surgical treatment of basal cell skin cancer", Clin Plast Surg, 24(4), pp.673~686 (1997)
  7. Goldman GD, "Squamous cell cancer. A practical approach", Semi Cutan Med Surg, 17(2), pp.80~95 (1998)
  8. Brodland DG, "Surgical margins for excision of primary cutaneous squamous cell carcinoma", J Am Acad Dermatol, 27(2), pp.241~248 (1992)
  9. Fleming ID, "Principles of management of basal and squamous cell carcinoma of the skin", Cancer Supplement, 75(2), pp.699~704 (1995)
  10. Park SS, "Auricular reconstruction", Otolaryngol Clin North Am, 34(4), pp.713~738 (2001)

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