莫氏显微手术

莫氏显微摄影术是一种专门用于治疗复杂神经系统疾病的技术皮肤癌. 它提供了最高的回收率, with a 99 percent cure rate for new 皮肤癌 and a 95 percent cure rate for recurrent 皮肤癌, 即使其他治疗方法都失败了.

与标准程序相比, 莫氏手术只切除了最少量的健康组织, 这样可以最大限度地减少疤痕，保持皮肤功能和外观. 除了, 局部麻醉用于肿瘤部位, 消除与全身麻醉相关的风险.

十大赌博靠谱网络平台处理

莫氏显微手术用于复杂的治疗基底细胞癌和鳞状细胞癌. In some instances, it used to treat less common tumors, including some superficial 黑素瘤.

皮肤癌在以下情况下被认为是复杂的:

The cancer is in an area where preserving healthy tissue is critical to maintaining a person's skin function and physical appearance, 比如眼睑, 鼻子, 耳朵, 嘴唇和手.
The cancer is in an area of high tumor recurrence, such as the 耳朵, lips, 鼻子, eyelids and temples.
The cancer was not completely treated, or was previously treated and has recurred.
癌细胞很大.
癌症的边缘不能明确界定.
疤痕组织存在于癌症区域.
癌症在以前接受过放射治疗的区域正在生长.
患者免疫抑制，如那些有器官移植,都是艾滋病毒阳性或有慢性淋巴细胞白血病.
The patient is at risk of multiple 皮肤癌 because of conditions such as a genetic syndrome, 基底细胞痣综合征或色素性干皮病.

准备

手术前, a preoperative consultation with our team of experts may be scheduled to determine if Mohs surgery is the best treatment option. You may not need a preoperative consultation if you live far from UCSF Medical Center or if your referring doctor is familiar with Mohs surgery and can discuss it with you in detail.

继续阅读

此外，你可能有一个皮肤活组织检查.

当你预约手术的时候, our nurse coordinator will contact you to discuss your medical history and any medications you are taking.

莫氏手术通常在门诊完成, 也就是说不用在十大赌博平台排行榜过夜了. 手术前请遵循以下说明:

手术前，晚上好好休息，吃早餐.
Shower and shampoo your hair within 24 hours before your procedure to minimize bacterial growth on your skin and help prevent infection.
请在预约时间前30分钟到达报到. 将提供加州大学旧金山分校医疗中心的地图和旅行指南.
Bring your insurance information and any insurance forms required for the procedure. Most insurance plans cover the cost, but please confirm with your insurer prior to surgery.
计划今天大部分时间待在加州大学旧金山分校. 带一本书或杂志来阅读.
手术后安排人开车送你回家. 如果可能的话，请朋友或家人陪你去加州大学旧金山分校.

过程

During Mohs surgery, tissue is surgically removed and its location precisely "mapped." The tissue is carefully examined microscopically by the surgeon on the same day of surgery. 在这个过程中, 100 percent of tissue margins around the tumor are evaluated to ensure that the tumor is completely removed before repairing the skin. 结果是, Mohs surgery has the highest cure rate for complex 皮肤癌 while minimizing the removal of normal tissue.

Standard surgical removal of skin cancer examines 1 percent of tissue margins around the tumor site and residual tumor tissue may be missed.

1 .麻醉

在肿瘤周围使用局部麻醉来使该区域麻木. 莫氏手术不需要全身麻醉.

步骤2 -切除肿瘤

皮肤完全麻木后, 用刮刀轻轻刮肿瘤, 一个semi-sharp, scoop-shaped仪器. 这有助于确定肿瘤细胞和健康组织之间的界限. The first thin saucer-shaped "layer" of tissue is surgically removed by the surgeon. 电针可用来止血. 这个过程大约需要10 ~ 20分钟.

步骤3 -绘制肿瘤

在一层组织被移除之后, 组织的“地图”或绘图及其朝向“地标”的方向,“比如鼻子或脸颊, 是用来精确定位肿瘤的吗. The tissue is labeled and color-coded to correlate with its position on the map.

The tissue sections are processed and then examined by the surgeon to evaluate for evidence of remaining cancer cells. 处理、染色和检查组织切片大约需要一个小时. 在这个过程中ing period, your wound will be bandaged and you may leave the operating suite.

步骤4 -确保癌细胞被清除

如果组织的任何切片在边缘显示癌细胞, 外科十大赌博平台排行榜回到那个特定的区域, 如地图所示, 然后移除另一层薄薄的组织. 被移除的组织再次被绘制、彩色编码、处理和检查. 如果显微镜分析仍然显示出疾病的迹象, 这个过程一层一层地进行，直到癌细胞被完全切除.

5 .重建

莫氏的外科十大赌博平台排行榜, 谁已完成该程序的奖学金训练,都是 experts in skin reconstruction to preserve normal skin function and physical appearance. The best method of repairing the wound after surgery is determined after the cancer is completely removed.

Stitches may be used to close the wound side-to-side, or a skin graft or a flap may be designed. 有时，可以让伤口自然愈合. 在极少数情况下, when Mohs surgery is extremely extensive or when removal of the tumor results in functional impairment, 我们可能会建议你到我们的整形外科十大赌博平台排行榜那里去做整形手术.

复苏

After your wound has healed, please return to your referring doctor for regular skin exams. We recommend six-month follow-up visits for two y耳朵 and yearly thereafter if no additional cancers are detected. 如果你的皮肤有任何变化, 不能治愈或引起关注, 请立即通知你的十大赌博平台排行榜.

The surgery is generally well tolerated with few side effects but you may experience the following:

疼痛

手术后你不会感到什么不适. 感到疼痛的病人服用泰诺. Due to its potential to cause bleeding, please don't take aspirin or ibuprofen for pain control. 在某些情况下，十大赌博平台排行榜可能会给你开更强的止痛药.

出血

A few patients experience some bleeding, which usually is controlled by the use of pressure. Take a gauze pad and apply constant pressure over the bleeding area for 15 minutes. 在这段时间内不要举起或释放压力.

如果持续按压15分钟后仍出血, 重复按压15分钟. 如果失败，打电话给你的十大赌博平台排行榜. 每天24小时都可以通过呼叫应答服务联系到十大赌博平台排行榜. 你走的时候会给你这个电话号码. Please don't drink alcohol the first night after surgery as this may stimulate bleeding.

并发症

如果你感到体温升高，请通知我们, 发冷, 增加发红, 肿胀, 引流或疼痛加剧.

手术后可能出现的轻微并发症包括:

伤口周围可能会出现一小块红色区域. 这是正常的，并不一定意味着感染.
伤口周围又痒又红, 特别是在应用胶带的地区, 是常见的. 当这种情况发生时, ask your pharmacist for a non-allergenic tape and let us know this occurred during your return visit.
Swelling and bruising may occur, particularly when surgery is performed around the eyes. This usually subsides within four to five days after surgery and may be minimized by using an ice pack during the first 48 hours after surgery.
有时，手术部位周围的区域会对触摸感到麻木. 这种麻木可能持续几个月，并可能是永久性的. 如果发生这种情况，请在你的随访中告诉你的十大赌博平台排行榜.

通过适当的伤口护理，疤痕可以减少到最低限度. 我们将与您详细讨论伤口护理.

预防皮肤癌复发

After having skin cancer, you are at a higher risk of developing it in the future. 太阳造成的皮肤损伤是无法逆转的. 以下是一些预防皮肤癌的预防措施:

在阳光照射前至少10分钟涂抹防晒指数30或更高的防晒霜.
经常补涂防晒霜.
避免过度日晒.
穿戴宽檐帽、长袖衫及其他防护服.
Ask your doctor to examine your skin every six months to check the surgical site as it is healing, 并寻找其他皮肤癌的发展.

加州大学旧金山分校健康医学专家已经审查了这些信息. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.