20.500.12556/DiRROS-17375 Kirurško zdravljenje malignih epitelijskih tumorjev kože Surgical treatment of malignant epithelial skin tumors Kožni tumorji spadajo med najpogostejše novotvorbe pri človeku. Delimo jih v tri skupine: benigni, predmaligni in maligni kožni tumorji. Zlasti na obrazu starejših ljudi se pojavijo značilne kožne spremembe, ki so posledica kronološke starosti bolnika in škodljivih zunanjih dejavnikov, zlasti solarno-klimatskih učinkov. Med malignimi tumorji sta najpomembnejša bazalno in spinalno celični karcinom, ki nezdravljena povzročata hudo lokalno uničenjetkiva. Hitra in pravilna diagnoza ter čimprejšnja kirurška odstranitevs histološko preiskavo omogoča učnkovito zdravljenje z dobrim estetskim rezultatom. Rano po eksciziji tumorja neposredno zašijemo s posameznimi ali tekočim intradermalnim šivom. Majhne kožne vrzeli pokrijemo s prostimi presadki kože različne debeline ali lokalnimi transpozicijskimi in rotacijskimi naključnimi kožnimi režnji. Pri velikih tkivnih vrzelih pa je potrebna rekonstrukcija z vezanimi režnji ali prostim prenosom tkiv. Skin tumors are considered one of the most common neoplasms in humans. They can be benign, premalignant or malignant. Most often they occur on photodamaged skin in ederly population. The most important malignant tumors are the basal and the squamous cell carcinoma. if untreated, they cause large local tissue destruction. Early and accurate diagnosis and early surgical removal of tumor togeher with histological verification of th etumor and surgical margins ensure efficient treatment and good aesthetic results. Skin tumors should always be excised to healthy margins (tumor-free tissue). When there is no tenson int ewoound primary wound closure shoould be performed by interrupted sutures or continuous intradermal suture. When the skin defect after tumor excision is small split or full thickness skin grafts or local rotation and transposition flaps are used for coverage. Large defect are covered by distant or free flaps. The flap transfer usually leaves a secondarydefect which is closed either by direct suture or covered by a skin graft. true false true Slovenian Medical Association - Slovenian Association of Radiology, Nuclear Medicine Society, Slovenian Society far Radiotherapy and Oncology, and Slovenian Cancer Society Ljubljana Slovenski jezik Angleški jezik by Authors Neznano 2023-11-28 14:22:32 2023-11-28 14:22:32 2023-11-29 03:38:01 0000-00-00 00:00:00 1999 0 0 Simpozij o malignem melanomu in kožnem raku; BSDOCID48322; str. S86-91 suppl. 1 Letn. 33 1999 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 1999-01-01 616-006 1318-2099 10735065 RAZ_Ahcan_Uros_1999.pdf RAZ_Ahcan_Uros_1999.pdf 1 5393078391FA0F4979116FA39D71EC24 ca519b0b7f0d1b6c96f13fcf031539e16aab1dac2a06f091fe1fc3ac2be338e5 f83f999b-8de8-11ee-9ccb-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=23598 Onkološki inštitut Ljubljana 0 0 0