Stručni rad
Modified Mohs Micrographic Surgery in Lentigo Maligna Treatment: A Series of Six Cases
Alexandra Zota
; Dr Leventer Centre, Bucharest, Romania
Anca Stanciu
; Dr Leventer Centre, Bucharest, Romania
Cecilia Enescu
; Dr Leventer Centre, Bucharest, Romania
Tiberiu Tebeica
; Dr Leventer Centre, Bucharest, Romania
Mihaela Leventer
; Dr Leventer Centre, Bucharest, Romania
Sažetak
The surgical approach to lentigo maligna is a challenge to dermatologists,
given its clinical and histopathological particularities. Staged excision with paraffinembedded,
permanent sections for histopathological evaluation of surgical margins
is an effective treatment of lentigo maligna because it enables complete excision of
the tumor, at the same time preserving maximum amount of healthy tissue. We report
a case series of 6 patients diagnosed with lentigo maligna who underwent this procedure
in our Institution and we describe the procedure we used. Complete excision
of the tumors was achieved with one to three levels, with margins of excision ranging
from 2 to 8 mm. There were no local recurrences at the median follow-up of 16
months, obtaining 100% cure rate with this technique. These are comparable with the
margins and number of levels of excision described in previous case series reported
in the literature. The technique described herein for the treatment of lentigo maligna
provides excellent cure rates for this type of cutaneous malignancy notorious for its
challenging management
Ključne riječi
modified Mohs micrographic surgery, lentigo maligna
Hrčak ID:
274487
URI
Datum izdavanja:
15.9.2021.
Posjeta: 510 *