CIRUGÍA MICROGRÁFICA DE MOHS. TRATAMIENTO DE LOS TUMORES MALIGNOS CUTÁNEOS DE ALTA AGRESIVIDAD Y COMPLEJIDAD. SEGUNDA PARTE
Palabras clave:
Cirugía de Mohs, cáncer de piel, resección tumoral, histopatología, Mohs surgery, skin cancer, tumor resection, histopathologyResumen
RESUMEN
La cirugía micrográfica de Mohs es el tratamiento quirúrgico con más altas tasas de curación de los tumores malignos cutáneos agresivos localmente invasivos, minimizando el sacrificio innecesario de tejidos peritumorales sanos. Los márgenes oncológicos son determinados en etapas sucesivas, los tejidos son evaluados en cortes histológicos horizontales en tres dimensiones, identificando con precisión la localización de la persistencia oncológica subsecuente escisión hasta la inexistencia del tumor respetando los tejidos sanos que no son removidos.
MOHS MICROGRAPHIC SURGERY TREATMENT OF THE MALIGNANT CUTANEOUS TUMORS OF HIGH AGGRESSIVENESS AND COMPLEXITY (SECOND PART)
ABSTRACT
Mohs micrographic surgery is the surgical treatment with higher cure rates of aggressive locally invasive skin malignancies, minimizing unnecessary slaughter of healthy peritumoral tissues. Oncologic margins are determined in successive stages, tissues are evaluated in horizontal histological sections in three dimensions, precisely identifying the location of oncological subsequent cleavage persistence to the absence of tumor respecting healthy tissues are not removed .
Biografía del autor/a
Michel Faizal, Universidad Nacional de Colombia
Referencias bibliográficas
Cohen LM. What’s new in lentigo maligna. Adv Dermatol 1999. 15: 203-231.
Menaker G M, chiang J K, Tabila B, Moy R L. Rapid HMB- 45 staining in Mohs micrographic surgery for melanoma in situ and invasive melanoma. J am Acad Dermatol 2001; 44: 833-836.
Grevey SC, Zax RH, McCall MW. Melanoma and Mohs Micrographic surgery. Adv Dermatol 1995; 10: 175-199.
Johnson TM, Smith JW, Nelson BB, Chang, A. Cu- rrent therapy for cutaneous melanoma. J Am Acad Dermatol 1995; 32: 689-706.
Zitelli JA, Brown C, Hanusa BH. Mohs Microgra- phic surgery for the treatment of primary cutaneous melanoma. J Am Acad Dermatol 1997; 37: 236-245.
Zitelli JA, Brown C, Hanusa BH. Surgical margins for excision of primary cutaneous melanoma. J Am Acad Dermatol 1997; 37:422-429.
Weihstock MA, Sober AJ. The risk of progression of lentigo maligna to lentigo maligna melanoma. Br J Dermatol 1987; 116: 303-310.
Cohen LM. Lentigo maligna and lentigo maligna melanoma. J Am Acad Dermatol 1995; 33: 923-936.
Robinson JK. Margin control for lentigo maligna. J Am Acad Dermatol 1994; 31(1): 79-85.
Kelley, L C, Starkus, L. Immunohistochemical staining of lentigo maligna during Mohs micrographic surgery using Mart-1. J am Acad Dermatol 2001; 46: 78-84.
Bricca G M, Brodland D G, Ren D, zitelli J A. Cuta- neous head and neck melanoma treated with Mohs micrographic surgery. J Am acad Dermatol 2005; 52: 92-100.
Bienert TN, Trotter MJ, Arlette JP. Treatment of cuta- neous melanoma of the face by Mohs micrographic surgery. J. cutan med surg 2003; 7:25-30.
Hitchcock MG, Leshin B. White WL. Pitfalls in frozen section interpretation in Mohs micrographic surgery. Adv Dermatol 1998; 13: 427-462.
Blechman A B, Patterson J W, Russell M A . Appli- cation of Mohs micrographic surgery appropriate-use critera to skin cancers at a university health system. J Am Acad Dermatol 2014;71: 29-35
Ad Hoc Task Force , Connolly S M , Baker D R , Coldiron B M , et al . AAD/ ACMS/ASDSA/ASMS 2012 appropriate use criteria for Mohs micrographic surgery: a report of the American Academy of derma- tology , American College of Mohs Surgery , American Society for Dermatologic Surgery Association , and the American Society for Mohs surgery . J Am Acad Dermatol 2012 ;67:531-50
Boyer J D, Zitelli J A, Brondland D G, D’Angelo G D. Local control of primary Merkel cell carcinoma: Review of 45 cases treated with Mohs micrographic surgery with and without adjuvant radiation. J Am Acad Dermatol 2002; 47: 885-892.
Spencer J M, Nossa R, Tse DT, Sequeira M. Se- baceus carcinoma of the eyelid treated with Mohs Micrographic surgery. J Am Acad Dermatol 2001; 44: 1004-1009.
Wang SQ, Goldberg LH, Nemeth A . The merits of Adding toluidine blue-stained slides in Mohs surgery in the treatment of a microcystic adnexial carcinoma . J Am Acad Dermatol 2007,56:1067-1069
Friedman PM, Friedman RH, Jiang B, Nourik, Amo- nette R, Robins P. Microcystic adnexal carcinoma: Collaborative series rewiew and update. J. Am Acad Dermatol 1999; 41: 225-231.
Leibovitch I, Shyamala CH, Selva D, et al. Microcystic adnexal carcinoma: treatment with Mohs micrographic surgery. J A m Acad Dermatol 2005; 52: 295-300.
Huether MJ, Zitelli JA, Broadland DE. Mohs microgra- phic surgery for the treatment of spindle cell tumors of the skin. J Am Acad Dermatol 2001; 44: 656-659.
Liang CL, Jambusaria-Pahlajani A, Karia PS, et al. A Systematic review of outcome data dermatofibrosar- coma protuberans with and without fibrosarcomatous change. J Acad Dermatol 2014,71:781-786.
Hendi A, Brodland D G, Zitelli J A. Extramam- mary paget´s disease: surgical treatment with Mohs micrographic surgery. J A m Acad Dermatol 2004; 51: 767-773.
O´Connor W J, Lim K , Zalla MJ, Gangnot M, Otley CC, Nguyen TH, et al. Comparison of Mohs micro- graphic surgery and wide excision for extramammary paget´s disease. Dermatol. Surg 2003; 29: 723-7.
Mondragon RM, Barrett TL. Current concepts: the use of immunoperoxidase techniques in Mohs microgra- phic surgery. J Am Acad Dermatol 2000; 43:66-71.
Jiménez FJ, Clark RE. Buchanan MD. Kamino H. Lymphoepithelioma – like carcinoma of the skin trea- ted with Mohs micrographic surgery in combination with immune staining for citoqueratinas. J Am Acad Dermatol 1995; 32: 878-881.
Jiménez FJ, Grichnik JM, Buchanan MD, Clark RE. Inmunohistochemical techniques in Mohs microgra- phic surgery: Their potential use in the detection of neoplastic cell masked by inflammation. J Am Acad Dermatol 1995; 32:89-94.
Stonecipher MR, Leshin B, Patrick J, White WL. Management of lentigo maligna and lentigo malig- na melanoma with paraffin- embedded tangential sections: Utility of immunoperoxidase staining and supplemental vertical sections. J Am Acad Dermatol 1993; 29: 589-594.
Banfield CC, Dawber PR, Walker N. et al. Mohs micrographic surgery for the treatment of in situ nail apparatus melanoma: A case report . J Am Acad Dermatol 1999; 40: 98-99.
Siegle JR, Schuller DE. Multidisciplinary surgical approach to the treatment of perinasal nonmelanoma skin cancer. Dermatol Clin 1989; 7: 711-731.
Weisberg NK, Bertagnolli MM, Becker DS. Combined Sentinel lymphadenectomy and Mohs micrographic surgery for the high- risk cutaneous squamous cell carcinoma. J Am Acad Dermatol 2000; 43: 483-488.
Bernstein G. Healing by secondary intention. Dermatol Clin 1989; 7: 645-660.
Leonard A L, Hanke W . Second Intention healing for intermediate and large postsurgical defects of the lip .
J Am Acad Dermatol 2007 ; 57:832-835
Bulla F, Faizal M. Carcinoma faciales múltiples de alta agresividad, manejo y técnicas de reconstrucción quirúrgica. Rev. Col. Dermatol: 1998; 6 (2): 25-20.
Thibault MJ, Bennett RG. Success of delayed full – thickness skin grafts after Mohs micrographic surgery. J Am Acad Dermatol 1995; 32: 1004-1009.
36 Fritz T, Burg G, Hafner J. Eyebrow reconstruction with free skin and air- bearing composite graft. J Am Acad Dermatol 1999; 41: 1008-1010.
Larrabee WF. Immediate repair of facial defects . Dermatol Clin 1989; 7:661-676.38
Lang PG. Osguthorpe J D. Indications and Limita- tions of Mohs micrographic surgery. Dermatol clin 1989; 7: 627-644.
Madani S, Huilgol S, Carruthers A. Unplanned in- complete Mohs micrographig surgery. J Am Acad Dermatol 2000; 42: 814-819.
Cook J, Zitelli JA. Mohs micrographic surgery : A cost analysis. J Am Acad Dermatol 1998; 39: 698-703.
Silapunt s, Peterson S R. Alcalay J, Golberg Lh.
Mohs tissue mapping and processing: a survey study. Dermatol surg 2003; 29: 1109-12.
Lebwohl M, Bernhard JD. The case for microgra- phically controlled skin surgery. Editorial. J AM Acad Dermatol 2000; 42: 698-699.
Cómo citar
Descargas
Publicado
Número
Sección
Licencia
Copyright
ANM de Colombia
Los autores deben declarar revisión, validación y aprobación para publicación del manuscrito, además de la cesión de los derechos patrimoniales de publicación, mediante un documento que debe ser enviado antes de la aparición del escrito. Puede solicitar el formato a través del correo revistamedicina@anmdecolombia.org.co o descargarlo directamente Documento Garantías y cesión de derechos.docx
Copyright
ANM de Colombia
Authors must state that they reviewed, validated and approved the manuscript's publication. Moreover, they must sign a model release that should be sent.
