Abstract:
:The purpose of this investigation was (1) to determine the incidence of basal cell carcinoma (BCC) recurrence in patients who had microscopic evidence of residual tumor at the margin of resection and (2) to identify morphological characteristics that predispose to recurrence. Twenty-nine patients with margin-positive BCCs were found in a group of 339 patients who underwent BCC resection. Four patients were lost to follow-up. The remaining patients fell into two groups: 10 patients had their margin-positive tumors re-resected within 2 months and 15 patients were followed until a recurrence developed. The pathology slides of these patients were reviewed and certain features were noted, including histological type, pattern of infiltration, size of tumor, and anatomic site. None of the patients who had re-resection of their margin-positive lesions had a recurrence. All of the patients who did not undergo re-resection developed a recurrent tumor at the site of the original resection. The unexpectedly high rate of recurrence in the latter group may have been a consequence of a disproportionate number of tumors containing sclerosing (morpheaform), mixed (nodular and sclerosing), as well as multifocal (horizontally spreading) lesions. A more aggressive approach to margin-positive BCCs is recommended, particularly if the lesion has sclerosing or multifocal components.
journal_name
Ann Plast Surgjournal_title
Annals of plastic surgeryauthors
Friedman HI,Williams T,Zamora S,al-Assaad ZAdoi
10.1097/00000637-199703000-00008subject
Has Abstractpub_date
1997-03-01 00:00:00pages
232-5issue
3eissn
0148-7043issn
1536-3708journal_volume
38pub_type
杂志文章abstract::Ectopic bone formation or "heterotopic ossification" can follow surgery, trauma, or neurologic injury, but the process is usually self-limited, localized to the site of injury, and responds to surgical treatment when necessary. Aggressive, systemic forms of heterotopic ossification exist that generate lesions that oft...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/01.sap.0000099624.04554.63
更新日期:2004-03-01 00:00:00
abstract::A 28-year-old woman underwent bilateral subcutaneous mastectomy and immediate reconstruction with silicone gel-filled prostheses. Three months after surgery, she developed an acute pressure sore on one side, owing to prolonged pressure of the insensitive breast against a hard surface. This complication is presented, t...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-198502000-00014
更新日期:1985-02-01 00:00:00
abstract:PURPOSE:This report summarizes our experience in the management of extratemporal facial paralysis with a variety of reconstructive techniques and explores those parameters which are considered to be useful in achieving better outcomes. METHODS:In all, 56 patients with extratemporal facial paralysis were studied. All t...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0b013e3182352221
更新日期:2013-02-01 00:00:00
abstract::B vitamins rescue cleft palate induced by glucocorticoids in rodents; however, the mechanism of this effect remains largely unknown. The objective of our study was to assess the effect of dexamethasone and Vitamin B12 on cell proliferation and apoptosis during palatogenesis. In our study, mesenchymal cell proliferatio...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0b013e3181b4bc8d
更新日期:2010-04-01 00:00:00
abstract::Seventeen whole-breast tissue specimens of mammary cystic disease were prepared using Marcum's whole-mounting technique. Histological studies were performed on from 10 to 19 slides of tissue containing the suspected pathological foci. Cysts in the cleared breast tissues were numerous, and cyst walls were covered by si...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-197911000-00005
更新日期:1979-11-01 00:00:00
abstract::The Lymphatic Microsurgical Preventing Healing Approach (LYMPHA) procedure entails performing a lymphovenous bypass (LVB) at the time of axillary lymph node dissection to reduce lymphedema risk. The two most common fluorophores utilized in LVB are blue dye and indocyanine green. We developed a novel application of flu...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0000000000001034
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Lymphedema, a chronic disfiguring condition resulting from lymphatic dysfunction or disruption, can be difficult to accurately diagnose and manage. Of particular challenge is identifying the presence of clinically significant limb swelling through simple and noninvasive methods. Many historical and currently...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/01.sap.0000244977.84130.cf
更新日期:2007-05-01 00:00:00
abstract::Congenital absence of the vagina was repaired in twenty patients; the longest follow-up was seventeen years. The surgical method is described, including the skin graft, the sculpted prosthesis, and the mechanic's waste bolus for retention. The patient must be oriented thoroughly before the operation. Even with an opti...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-197807000-00004
更新日期:1978-07-01 00:00:00
abstract::Over the past four years we have performed total phallic reconstructions in 12 patients. Six patients underwent reconstruction following trauma, 3 were female-to-male transsexuals, and 3 had micropenis deformities. These reconstructions were one-stage microsurgical tissue transfers that included urethral reconstructio...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-198702000-00006
更新日期:1987-02-01 00:00:00
abstract::The successful release of severe contracture of the first web space depends on addition of a sufficient amount of skin. Because local skin is limited, skin grafts tend to contract, and free and pedicle flaps are bulky, further procedures are often obligatory. Expansion of the tissues of the dorsum of the hand offers a...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-199105000-00009
更新日期:1991-05-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to reveal the effect of angiotensin (1-7) on survival of random pattern, nicotinized, ischemic flap model in rats. MATERIALS AND METHODS:We used female Sprague Dawley rats weighing between 250 and 300 g. The study was performed on 3 groups each of them was consisted of 30 rats (...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0b013e3182069bfd
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Breast implant illness (BII) after aesthetic breast augmentation remains a poorly defined syndrome encompassing a wide spectrum of symptoms. While previously published series have observed overall symptomatic improvement after breast implant removal, there is a lack of studies evaluating changes in specific ...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0000000000002446
更新日期:2020-07-01 00:00:00
abstract::A series of basic animal studies using a new subatmospheric pressure technique (The V.A.C.) to expedite wound healing are presented. The technique entails placing an open-cell foam into the wound, sealing the site with an adhesive drape, and applying subatmospheric pressure (125 mmHg below ambient) that is transmitted...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-199706000-00001
更新日期:1997-06-01 00:00:00
abstract::The transverse rectus abdominis musculocutaneous flap and deep inferior epigastric perforator flap are the flaps of choice for autologous breast reconstruction. The better understanding of the vascular anatomy of these flaps has reduced the incidence of flap loss and fat necrosis, and positioning the flap's least vasc...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/01.sap.0000162509.32962.9c
更新日期:2005-06-01 00:00:00
abstract:BACKGROUND:The growth and acceptance of smartphones among clinicians has been remarkable over the last decade. Over 87% of doctors use a smartphone or tablet capable of running third-party software known as applications (apps). In the field of plastic surgery, apps have been designed for personal practice development, ...
journal_title:Annals of plastic surgery
pub_type: 杂志文章,评审
doi:10.1097/SAP.0000000000000792
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:The infraorbital region is a unique facial subunit surrounded with several important structures, such as the lower eyelids, oral commissure, ala nasi, and the sideburns. The potential for distortion of these neighboring anatomic landmarks and the absence of natural creases where incisional scars can be camou...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0b013e31820d6830
更新日期:2011-12-01 00:00:00
abstract::Complete excision of a giant neurofibroma can be technically difficult. Thorough preoperative planning with magnetic resonance imaging, computed tomography, and arteriography are indicated to define the extent of the mass and to facilitate operative planning. By following the treatment guidelines discussed in this cas...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-200045040-00017
更新日期:2000-10-01 00:00:00
abstract::Skin sparing mastectomy (SSM) removes the breast, nipple-areolar complex, previous biopsy incisions, and skin overlying superficial tumors. Preservation of the native skin envelope facilitates immediate breast reconstruction. The procedure has been adopted for the treatment of breast cancer. All cases of SSM and immed...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-200103000-00003
更新日期:2001-03-01 00:00:00
abstract:BACKGROUND:Although columellar strut grafts (CSGs) are considered among the fundamental steps for providing nasal tip support, a downward rotation of the nasal tip in patients with strut grafts can still be encountered. Patient-related factors such as nasal skin thickness can allow the plastic surgeon to anticipate cer...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0000000000001600
更新日期:2019-04-01 00:00:00
abstract::Deeply invading tumors of the scalp present numerous extirpative and reconstructive problems requiring the combined expertise and skills of both medical and surgical disciplines. We have employed a combined multidisciplinary approach to recurrent tumors of the scalp and calvarium. Intraoperatively, a fresh-tissue mapp...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:
更新日期:1980-03-01 00:00:00
abstract:BACKGROUND:Various procedures have been described for the management of mandibular condylar head fracture, but a standard treatment is not yet conclusive. This report describes our experience with osteosynthesis of condylar head fracture at Linkou Chang Gung Memorial Hospital. METHODS:Sixteen patients with unilateral ...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0000000000002172
更新日期:2020-01-01 00:00:00
abstract::Twenty-one men with genital Paget's disease were treated in our clinic from 1968 to 1983. We report our policy regarding treatment of the clinical disorder, particularly our surgical approach. We also stress that, when considering treatment, the circumstances of the aged patients should take precedence over aggressive...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-198409000-00005
更新日期:1984-09-01 00:00:00
abstract::Technically we can divide full-thickness thoracic reconstruction into 2 parts: providing a rigid support and ensuring well-vascularized coverage. Since 1986, the authors' center has had ample experience with bone banks and the use of cryopreserved bone grafts, which led them to consider the possibility of using these ...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/01.sap.0000099961.00590.9b
更新日期:2004-01-01 00:00:00
abstract:INTRODUCTION:Capsular contracture after breast reconstruction is a morbid complication, occurring in 30.0% to 47.5% of patients undergoing postoperative radiotherapy. Although it is well known that radiation increases rate of capsular contracture, there are few well-established animal models that faithfully replicate s...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0000000000001362
更新日期:2018-04-01 00:00:00
abstract::Breast augmentation is one of the leading esthetic surgeries, enjoying high satisfaction rates. Pain, nausea, and vomiting are frequent shortcomings of the immediate postoperative period. The aim of this study was to compare breast augmentation from the anesthetic point of view: general anesthesia (GA) versus monitore...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0b013e31815bfe98
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVE:For thin women with little subcutaneous fat and micromastia, they could not obtain ideal results by choosing autologous fat breast augmentation or prosthesis-only breast augmentation. To address these problems, we combined autologous fat and prosthesis for breast augmentation, and the clinical results were sa...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0000000000002093
更新日期:2019-10-01 00:00:00
abstract::The relative merit of cartilage scoring versus suturing in otoplasty remains a subject of debate among leading plastic surgeons. We compared a variety of otoplasty techniques in 42 rabbit ears using anterior or posterior scoring, horizontal or vertical mattress sutures, and combinations of scoring and suturing. The ea...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-199501000-00009
更新日期:1995-01-01 00:00:00
abstract:BACKGROUND:In our previous study, we used cross finger fascial flap combined with split-thickness toe nail bed graft to reconstruct large area defect of the nail bed with distal phalanx exposure. Fingertip avulsions are common injuries to the upper extremity and cause a great deal of distress for patients. Replantation...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0000000000002002
更新日期:2019-12-01 00:00:00
abstract:UNLABELLED:Outcome evaluation of midcarpal arthrodesis in the treatment of scaphoid nonunion advanced collapse (SNAC-wrist) and scapholunate advanced collapse (SLAC-wrist). PURPOSE:Scaphoid nonunion or scapholunate ligament instability results in carpal collapse and subsequent arthrosis. These conditions, termed SLAC-...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/01.sap.0000194245.94684.54
更新日期:2006-02-01 00:00:00
abstract::A simple apparatus was devised to perfuse the rat groin flap to study the relationship between perfusion pressure and flow. Results demonstrate that a relatively high intraarterial pressure must be applied to this skin flap before blood flow will commence. Results suggest that this critical closing phenomenon is the r...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-198206000-00009
更新日期:1982-06-01 00:00:00