최근 10년간 안면부 피부 악성종양에 대한 임상적 고찰

다국어 초록 (Multilingual Abstract)

Background
The incidence of cutaneous malignant tumors has increased recently and has varied according to social and environmental influence. Among the variable therapeutic methods for cutaneous malignant tumors, radical excision is the most reliable method. Because the cutaneous malignant tumors happen more often in exposured site, especially in face than in any other region, a appropriate choice of surgical method following size and location is very important.
Objective
The purpose of this study was to analyze the clinical characteristics of facial cutaneous malignant tumors and our experience of removal and reconstruction surgery to treat it.
Materials & Methods
A retrospective clinical analysis was made on 99 cases of facial cutaneous malignant tumors which had been operated at the Department of Plastic and Reconstructive Surgery, Gyeongsang National University Hospital in Jinju( Gyeongnam ) during the last 10 years between January 1994 and December 2003
Results
The results were summarized as follows :
1. The most common facial cutaneous malignant tumors was basal cell carcinoma(39.4%), followed by squamous cell carcinoma(55.6%), malignant melanoma(4%), dermatofibrosarcoma(1%).
2. In age and sex distribution, majority of facial skin cancers developed after 6th decade(92.0%) and male was more frequently affected with male to femal ratio 1.15:1.
3. The predilection sites of basal cell carcinoma were nose(47.3%), cheek(29.1%), auricle(10.9%), and those of squamous cell carcinoma were cheek(30.8%) temple(20.5%), and lower lip(17.9%).
4. Of the reconstructive methods after tumor resection, local flaps were most commonly used(68.7%).
5. The average duration between the presumed time of onset and the time of operation was 29.4months in squamous cell carcinoma and 62.1months in basal cell carcinoma.
6. Eights(8.1%) of these cases showed recurrence.
7. I observed two cases of metastasis in one squamous cell carcinoma and the other malignant melanoma in which were metstasized into the regional lymph nodes.
Conclusion
I investigated the clinical observations of 99 facial cutaneous malignant tumor patients in our clinic and made a comparative study. This data will be available for the study of cutaneous malignant tumors in the future.

목차 (Table of Contents)

• Ⅰ. 서론 = 1
• Ⅱ. 연구 대상 및 방법 = 3
• Ⅲ. 결과 = 4
• Ⅳ. 고찰 = 7
• Ⅴ. 결론 = 12
• 참고 문헌 = 21