par Lejour, Madeleine 
Référence BULL.ACAD.ROY.MED.BELG., 128, 3, page (253-270)
Publication Publié, 1973
Référence BULL.ACAD.ROY.MED.BELG., 128, 3, page (253-270)
Publication Publié, 1973
Article révisé par les pairs
| Résumé : | Carcinomas of the skin are treated by excision, radiotherapy or curettage, with a cure rate of 85 to 95%. Recurrences are more difficult to cure, and any type of treatment for recurrence is followed by a new recurrence rate of 30 to 50%. Modern treatment of skin carcinomas is done in two immediately consecutive stages: a broad excision with frozen section to control the nature of the tumor and the margins of resection, followed by a reconstruction as perfect as possible. The best techniques of reconstruction use local sliding or rotation flaps in one operation. The refinement of modern techniques often avoids any disfigurement to the patient, if the lesion is treated early enough. When the skin loss is too large for local flap reconstruction, distant flaps are taken from the forehead, the neck or the upper trunk. These flaps, which leave variable sequelae, have completely replaced long distance flaps such as abdominal tubed flaps, because these flaps need too many migrations and cause too much disfigurement. Epitheses are reserved for extremely mutilating lesions or for patients too old to stand complex reconstructions. |
