Der Klinikarzt 2016; 45(04): 208-212
DOI: 10.1055/s-0042-105460
Schwerpunkt
© Georg Thieme Verlag Stuttgart · New York

Hautsparende operative Therapie epithelialer Hauttumoren – Resektion abhängig von Defekt, Lokalisation und Tumorentität

Skin-sparing surgical therapy of epithelial skin tumors – Resection depends on defect, localisation and tumour entity
Katrin Schweinzer
1   Universitäts-Hautklinik, Studienzentrum für Operative Dermatologie; Eberhard Karls Universität Tübingen, Tübingen
,
Lukas Kofler
1   Universitäts-Hautklinik, Studienzentrum für Operative Dermatologie; Eberhard Karls Universität Tübingen, Tübingen
,
Hans-Martin Häfner
1   Universitäts-Hautklinik, Studienzentrum für Operative Dermatologie; Eberhard Karls Universität Tübingen, Tübingen
› Institutsangaben
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Publikationsverlauf

Publikationsdatum:
02. Mai 2016 (online)

Die größte Gruppe der Non-melanoma skin-cancer (NMSC) sind epitheliale Hauttumoren, mit Basalzellkarzinomen und Plattenepithelkarzinomen als wichtigste Vertreter.

Therapie der ersten Wahl ist die histologisch kontrollierte Exzision des Tumors. Die mikrografisch kontrollierte Chirurgie bietet Möglichkeiten, gesundes Gewebe zu schonen und trotzdem histologische Tumorfreiheit zu erreichen. Dies ist besonders bei Tumoren im Gesichts-Kopfbereich sowie an den Akren von großer Bedeutung.

Die 3D-histologisch kontrollierte Exzision zeigt die höchsten Heilungsraten und niedrigste Rezidivrate im Vergleich zu allen anderen derzeit verfügbaren Methoden.

The most important group of non-melanoma skin-cancers (NMSC) are epithelial tumors. Among them basal cell carcinomas and squamous cell carcinomas are the most common types.

Therapy of choice is histological controlled excision. Micrographic controlled surgery is a skin sparing method providing histological tumor clearance. This is of particular importance in head and face area as well as at distal extremities.

3D-histology-controlled surgery shows the highest cure rate and lowest rate of recurrence compared to all other methods available.

 
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