Modern strategy and standards of treatment of lower eyelid skin malignant neoplasms

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Cases of surgical treatment of basal cell skin carcinoma of the lower eyelid are rarely described in the world literature. Perhaps this is due to the search for new non-surgical treatment methods or to the fact that this localization is poorly represented in the total incidence of basal cell skin cancer. However, the operative method, recommended as the main line of treatment by both domestic and foreign clinical recommendations, is still recognized as the most radical and aesthetically acceptable method of treatment. Non-radical treatment of the tumor leads, in turn, to relapses of the disease, to the emergence of systemic metastatic foci due to the lymphogenic and hematogenic spread of tumor cells. In the article we describe the experience of surgical treatment of patients suffering from basal cell skin carcinoma of the lower eyelid of varying degrees of extension.

作者简介

Andrey Polyakov

P. Hertsen Moscow Oncology Research Institute is a branch of the National Medical Research Center for Radiology

Email: appolyakov@mail.ru
ORCID iD: 0000-0003-2095-5931

MD, Dr. Sci. (Med.), head of the Department of microsurgery

俄罗斯联邦, Moscow

Dmitry Davydov

P. Hertsen Moscow Oncology Research Institute is a branch of the National Medical Research Center for Radiology

Email: davydov_dmvk@pfur.ru
ORCID iD: 0000-0001-5506-6021

MD, Dr. Sci. (Med.), head of the Department of oncoplastic surgery

俄罗斯联邦, Moscow

Irina Novikova

P. Hertsen Moscow Oncology Research Institute is a branch of the National Medical Research Center for Radiology

Email: rebrikovaiv@mail.ru
ORCID iD: 0000-0002-7854-9824

Cand. Sci. (Med.), senior research associate of the Department of microsurgery

俄罗斯联邦, Moscow

Adam Sugaipov

P. Hertsen Moscow Oncology Research Institute is a branch of the National Medical Research Center for Radiology

Email: Al.Sugaipov@mail.ru
ORCID iD: 0000-0002-9349-7372

physician of Department of microsurgery

俄罗斯联邦, Moscow

Olga Kuznetsova

P. Hertsen Moscow Oncology Research Institute is a branch of the National Medical Research Center for Radiology

Email: olga-sudalenko@yandex.ru
ORCID iD: 0000-0003-1789-4007

pathologist of pathoanatomical Department

俄罗斯联邦, Moscow

Elena Naumova

P. Hertsen Moscow Oncology Research Institute is a branch of the National Medical Research Center for Radiology

编辑信件的主要联系方式.
Email: dr.naumova@outlook.com
ORCID iD: 0000-0001-8203-7971

clinical resident of Department of microsurgery

俄罗斯联邦, Moscow

参考

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2. Fig. 1. Appearance of the patient before surgery (September, 2020)

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3. Fig. 2. Intraoperative photos of the patient on October 13, 2020: a — appearance of the surgical area after the tumor removal of; b — aspect of the surgical area, moved flap fixed by interrupted sutures

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4. Fig. 3. Photo of the histological specimen of the patient's postoperative material, hematoxylin and eosin staining, ×100

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5. Fig. 4. Appearance of the patient 2 years after surgery

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6. Fig. 5. Appearance of the patient on February, 2021 (before surgery): a — front view; b —left view

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7. Fig. 6. Intraoperative photos of the patient on March 11, 2021: a — front view of the patient after the tumor removal, preoperative marking of flaps (paramedian, buccal-zygomatic adipo-cutaneous flaps) has been performed; b — left view of the patient after the tumor removal, preoperative marking of flaps (paramedian, buccal-zygomatic adipo-cutaneous flaps) has been performed; c — appearance of the surgical area, paramedian, buccal-zygomatic and buccal adipo-cutaneous flaps have been mobilized; d — the appearance of the surgical area, paramedian, buccal-zygomatic and buccal skin-fat flaps were moved to the area of the formed postoperative defect and fixed with interrupted sutures

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8. Fig. 7. Appearance of the patient in the delayed postoperative period after the first stage of surgical treatment: a — front view; b —left view

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9. Fig. 8. Intraoperative photo of the patient on July 28, 2021. Second stage of surgical treatment — correction of the displaced paramedian flap

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10. Fig. 9. Appearance of the patient in remote postoperative period, after the second stage of surgical treatment: a — front view; b —left view

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11. Fig. 10. Appearance of the patient in remote postoperative period, after the second stage of surgical treatment: a — front view with eyes opened; b — front view with eyes closed

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12. Fig. 11. Appearance of the patient before surgery: a — left view; b — front view

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13. Fig. 12. Intraoperative photos of the patient on June 24, 2021: a — view of the formed postoperative tissue defect, a wedge resection of the lower eyelid was performed; b — appearance of the postoperative wound, wound edges are closed in layers

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14. Fig. 13. Appearance of the patient on September, 2022: a — left view; b — front view

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版权所有 © Polyakov A.P., Davydov D.V., Novikova I.V., Sugaipov A.L., Kuznetsova O.S., Naumova E.A., 2023

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此作品已接受知识共享署名-非商业性使用-禁止演绎 4.0国际许可协议的许可。
 


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