How should the treatment of skin cancer?

() The treatment of attention points to the appropriate treatment method is not only the histological types of skin cancer based on anatomical location but also according to age, sex, general health status of patients with the anatomical site on whether it should be noted that certain parts of certain parts of recurrence after surgery can be easily to achieve the expected results of the treatment plan, such as eyes around the nose and around the ear is surrounded by a high relapse rate in the region must therefore choose a higher cure rate of treatment before the implementation of surgical resection should be thought of anatomical parts of the cosmetic appearance of wounds after excision of the skin functions such as facial Raised areas: the nose and lip and cheek healed surgical scar at the amount of helix tightening unacceptable face convex parts and damage function part should be prepared to flap skin graft preparation Deng Xiang

Should be comprehensive consideration of the general health condition of patients with any coagulation disorder or receiving anticoagulant therapy must be used when the blood can not cure C cryotherapy application of laser radiation therapy may be too frail older women with long-term radiation therapy sometimes can not bear-resistant can choose to use curettage and electric drying method also can be applied to surgical resection of the whole

() Drug treatment

. Local Treatment: The main is locally treated with local injection of local Dressing and early use. % Colchicine treated with amine local tumor effect of ointment to do better in recent years, with the bleomycin-Fu ointment and cream also achieved good results

() Bleomycin: like to use. % Or% of the ointment Tu ~ times a day like no side effects cream can be stored at room temperature for months without compromising its potency

() FU: general clinical use. % Of the ointment daily Tu l ~ Ci of superficial basal cell carcinoma and squamous cell carcinoma in situ efficacy of very good

. Systemic treatment

() Indications: A scar on the basis of the original squamous cell carcinoma occurred in the skin and mucous membrane at the junction of squamous cell carcinoma patients with low immune function as well as the occurrence of regional lymph node and distant metastasis need to use systemic chemotherapy

() BLM right out of the squamous cell carcinoma proliferative effect of better drug delivery methods mg intramuscular or intravenous injection for the treatment a week times ~ mg

() PEP (Pirelli ADM): not only sensitive to the primary foci of the lymph node metastasis has also been made% of the efficient use of: sub-mg intramuscular injection withdrawal l days a week times to repeat ~ times

() DDP and ADM combined applications: chemotherapy of DDP mg / m intravenous drip infusion with hydration and to give the large number of ADM mg + diuretic ml water for injection into the interval in minutes, all patients receive adequate weeks of chemotherapy chemotherapy to ease the process of rate%

() Scientists as the treatment of skin with curettage curettage and electric drying treatment of superficial basal cell carcinoma, squamous cell carcinoma is the use of tumor and its boundaries to the surrounding normal skin with curettage curette curette should be noted that the size of the former to be suitable for general slightly larger than the new bio-surgery when you can slip a little down force so as to avoid later in the regular disinfection% procaine or lidocaine solution injected into the basal cell carcinoma or squamous cell carcinoma of the base at the bottom of its apparent uplift selecting a suitable scraping spoon-like with ~ mm size of the foci excavated curette l ~ mm in diameter with relatively sharp edge of a small curette Saogua tumor bed weeks and stretch around the base substrate in order to scrape off the residual tumor and normal tissues are sometimes a result of the normal dermal tissue is more solid you can hear a slight scrape of gravel-like sound is crisp and the tumor after the silent Saogua burning with electrocautery device tumor bed and then spend weeks and basal curette scrape off charred wounds organization coated with antibiotic ointment advantage is available to a smooth and only a small amount of pigmentation of the aesthetic shortcomings of the wound is not cutting edge of the pathological examination results do not know whether the cutting edge of residual cancer, so this law should be used with caution

() Chemical surgery this method pioneered by American doctors Mohs cancer after using zinc chloride paste in a fixed horizontal cut its delivery pathological examination until the next cutting edge of non-basal carcinoma has been omitted so far but now fixed tissue using zinc chloride paste this step directly to the horizontal direction and a continuous cutting fresh tissue sent to pathology until the basement until the cutting edge of non-cancer lesions in the scope of this law applies to a large ill-defined, as well as cases of relapse after treatment

() Is suitable for cryotherapy curettage of skin cancer is also suitable for freezing treatment, and particularly those rich in fiber content and is not conducive to curettage of the cases; by curettage and radiotherapy is more suitable for cases of recurrence after cryotherapy However, lesions must be limited to those who invade the skin and other tissues and organs were not suitable for freezing treatment on the pre-treatment biopsy must be made because the frozen specimen after treatment is not available for pathological examination technique will be marking the border after tumor lesions in and around ~ mm of normal tissue as a treatment for the region - ℃ death of tumor cells is to ensure optimal temperature and then slowly began to thaw thaw thaw than the rate determining more effective in killing tumor cells is limited to fast-thaw more normal tissue to prevent injury when using the

Has the advantage of cryotherapy curettage more beautiful than the wounds of its cure rate of up to% ~% eye lesions as long as the insurance department to use a heat protector to cover the eye even after the treatment method has been applied, but this law should be treated scalp After the high rate of cancer recurrence and therefore consider it appropriate to use multi -

() Radiation therapy for basal cell carcinoma and squamous cell carcinoma is very sensitive to the efficacy of radiation therapy well before radiotherapy must be considered in determining the age, sex, tumor patients with a history of anatomical parts of healing and recurrence of the final cosmetic results achieved

. Radiotherapy advantages: ① can protect tumor involving the organization does not produce the injury less ② ③ No scar does not cause changes in body shape ④ do not form keloids and hypertrophic scar contracture of the skin treatment painless ⑤ ⑥ ⑦ light in patients with trauma is not need to be hospitalized

. Disadvantage of radiation therapy: ① hair fall off easily recycled post-exposure treatment area ② ③ sweat loss of function of skin atrophy telangiectasia, depigmentation, or calm dry or keratosis ④ pathological examination can not be beyond the control of the precise boundaries of tumor

() Laser treatment of a variety of lasers commonly used in dermatology such as carbon dioxide laser helium-neon laser and so its use varies in the treatment of skin cancer, the major use of carbon dioxide laser carbon dioxide laser can replace the electric drying carbon dioxide laser in the wavelength of nm infrared beam divergence when the beam divergence when it can be used to vaporize skin tumors such as basal cell carcinoma, superficial squamous cell carcinoma of the skin tumors disappeared and can be combined with curettage

() Surgical treatment of the current surgical treatment of skin cancer is still the main method of resection of the scope of the tumor size should vary with depth of invasion vary the boundary for the lesions in the small superficial basal cell carcinoma clear from the tumor margin. Cm for removal can be achieved along the more general aim of the lesion infiltration wide range of major cases should be from the original lesion ~ cm for resection of the hospital in the conditional frozen section examination should be negative margin basal cell carcinoma of the local recurrence rate was% ~% tumor resection of the scope of the basement with the lesion depth of invasion, such as occurred on the scalp may be the superficial basal cell carcinoma after excision of extensive skin grafting practicable; involving the periosteum and the periosteum were removed should be made after pedicle skin flap and skin grafting to repair the scales cell carcinoma of the removal of the scope, but essentially the same as basal cell carcinoma associated with regional lymph node metastases lymph node dissection should be

() Immunotherapy for immune therapy applied to IFN-treatment of skin cancer, studies have shown that effective treatments may be the future of local injection of γ-interferon in basal cell carcinoma tumors in vivo can be eased short-term