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目的:直径5cm或更大的巨大基底细胞癌是非常罕见,在基底细胞癌皮肤恶性肿瘤中不足1%,目前全球几乎没有其发病率的研究、切除和重建方案。方法:针对我科收治的头颈部17例巨大基底细胞癌患者的手术切除和重建进行回顾性探讨和分析。结果:病变在额头,眼睑,嘴唇或鼻颊部者,5~6cm大小是最常见病灶,最大者直径范围从5~11cm。所有患者均行病灶切除及直接重建,主要采用局部皮瓣,术后未见皮瓣失败。结论:头颈部巨大基底细胞癌可以采用局部皮瓣修复重建。
PURPOSE: Huge basal cell carcinoma of 5 cm or more in diameter is very rare, accounting for less than 1% of all skin cancer of the basal cell carcinoma. At present, there are few studies on the incidence, resection and reconstruction of the disease in the world. Methods: The surgical resection and reconstruction of 17 cases of great basal cell carcinoma in our head and neck were retrospectively analyzed and analyzed. Results: The lesions in the forehead, eyelids, lips or nasal cheek, 5 ~ 6cm size is the most common lesions, the largest diameter range from 5 ~ 11cm. All patients underwent resection of the lesion and direct reconstruction, the main use of local flap, no flap after surgery failed. Conclusion: Local skin flap repair and reconstruction can be used for head and neck great basal cell carcinoma.