کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
4024356 | 1262309 | 2011 | 14 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Prise en charge des tumeurs palpébrales : considérations générales
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کلمات کلیدی
eyelid tumorsMicrographic surgeryEyelid reconstruction - بازسازی پلکFlaps - فلاپ هاChirurgie micrographique - میکرو گرافیک جراحیGreffes - پیوندLambeaux - ژنده پوشSpindle cell carcinoma - کارسینوم سلول اسپیندلBasal cell carcinoma - کارسینوم سلول بازالCarcinome basocellulaire - کارسینوم سلول بازالcarcinome épidermoïde - کارسینوم سلول سنگفرشیGrafts - گرافت ها
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
چشم پزشکی
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چکیده انگلیسی
Despite the fact that the majority of eyelid tumors are benign, proper management in daily practice requires detection of the malignant ones. Several clinical criteria are usually proposed to support or reject a hypothesis of malignancy; however, most are of limited reliability. In any case of doubt, outpatient biopsy is recommended, so as to establish the correct diagnosis and formulate the most appropriate treatment plan. In all facial malignancies, the first (and absolutely mandatory) consideration is control of the cancer. Then, restoration of eyelid function can be addressed, in the following order: protection of the globe by complete dynamic eyelid closure and opening, visual function (and prevention of possible deprivation amblyopia) by insuring a clear visual axis, correction of the tear film, efficient lachrymal drainage, and only then the role of the eyelids in facial expression and esthetics. For most malignant eyelid tumors, the best assurance of complete excision is obtained by extemporaneous examination of the resection margins by frozen section (by Mohs' micrographic surgery techniques, or a variation thereof). Currently, advancement and transposition flaps, possibly in combination with tarso-conjunctival or skin grafts, are the most utilised techniques. Despite the lack of histological verification, new treatment modalities, including topical chemotherapy, photodynamic therapy and cryotherapy, may provide interesting treatment options, particularly in collaboration with the dermatologist.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal Français d'Ophtalmologie - Volume 34, Issue 10, December 2011, Pages 741-754
Journal: Journal Français d'Ophtalmologie - Volume 34, Issue 10, December 2011, Pages 741-754
نویسندگان
J. Lasudry,