局部皮瓣修复复发性鼻翼基底细胞癌术后全层缺损1例

A case report of local flaps in repairing full-thickness defect of recurrent nasal alar basal cell carcinoma

外鼻基底细胞癌来自于上皮的基底层,多见于老年人,恶性程度较低。初期可表现为一黑褐色小结节,典型症状可见中央皮肤溃破,表面有黑色痂皮附着,久不愈合,确诊须依赖病检。临床上常首选外科手术治疗,术后需密切随访,防止肿瘤复发。现通过对1例复发性鼻翼基底细胞癌术后全层缺损患者的报道,以提升对肿瘤复发的认知敏感性,评价鼻翼全层缺损应用局部皮瓣修复的临床效果。

External nasal basal cell carcinoma comes from the basal layer of the epithelium and belongs to the category of skin cancer.It is more common in the elderly and has a lower degree of malignancy.In the early period,it can appear as a dark brown nodule.The typical symptoms can be seen in the central skin rupture,with black scab attached to the surface,which does not heal for a long time.The diagnosis must rely on medical examination.Surgical treatment is often preferred in clinical practice,and close follow-up is required after surgery to prevent tumor recurrence.In order to improve the cognitive sensitivity to malignant tumor recurrence,1 case of full-thickness defect of recurrent nasal alar basal cell carcinoma was reported,and the clinical effect of local flaps repair for full-thickness defect of nasal alar was evaluated.