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4.
Actas urol. esp ; 31(9): 1076-1081, oct. 2007. ilus
Article in Es | IBECS | ID: ibc-058370

ABSTRACT

La cirugía de Mohs es una técnica quirúrgica que permite la extirpación en capas de tumores cutáneos con los más elevados porcentajes de curación. Al mismo tiempo permite el máximo ahorro de tejido sano. Todo ello es posible gracias a la supervisión microscópica que posibilita analizar el 100% de los bordes tumorales de cada una de las capas y así poder guiar al cirujano en las sucesivas persistencias tumorales hasta la completa extirpación del tumor. La utilidad de la cirugía micrográfica de Mohs en el tratamiento de las neoplasias de pene tiene su justificación por el ahorro de tejido que permite. El carcinoma verrucoso de pene, constituye una indicación de cirugía de Mohs debido a la elevada tendencia a la recidiva local tras la cirugía convencional. Aunque más infrecuentes, otros tipos histológicos de tumores del pene en los que la cirugía micrográfica de Mohs puede ser de utilidad son: epitelioma basocelular, la enfermedad de Paget extramamaria, el melanoma in situ y el tumor de células granulosas


Mohs micrographic surgery is a surgical technique that allows the excision in successive layers of cutaneous malignancies with the higher cure rates. At the same time, this surgical technique offers the maximal preservation of normal tissue. That is possible because Mohs surgery provides the advantage of microscopically controlled tumor-free borders in each stage guiding the surgeon in the tumor persistence until the complete surgical excision. Mohs micrographic surgery is a precise treatment for penile neoplasms and its utility is justified because the removal of a substantial surgical margin of normal tissue is obviated. Mohs micrographic surgery is indicated in the treatment of penile verrucous carcinoma due to the significant risk of loco-regional recurrence after conventional surgery. Although infrequent, other penile neoplasms that can benefit from Mohs micrographic surgery are: basal cell carcinoma, extrammamary Paget’s disease, in situ melanoma and granular cell tumor


Subject(s)
Male , Humans , Mohs Surgery/methods , Granulosa Cell Tumor/diagnosis , Granulosa Cell Tumor/surgery , Granulosa Cells/cytology , Granulosa Cells/pathology , Carcinoma/complications , Carcinoma/diagnosis , Carcinoma/surgery , Penile Neoplasms/diagnosis , Penile Neoplasms/surgery , Penis/pathology , Penis/surgery , Mohs Surgery/instrumentation , Mohs Surgery/trends , Mohs Surgery , Hemostasis/physiology
6.
Actas Urol Esp ; 31(9): 1076-81, 2007 Oct.
Article in Spanish | MEDLINE | ID: mdl-18257374

ABSTRACT

Mohs micrographic surgery is a surgical technique that allows the excision in successive layers of cutaneous malignancies with the higher cure rates. At the same time, this surgical technique offers the maximal preservation of normal tissue. That is possible because Mohs surgery provides the advantage of microscopically controlled tumor-free borders in each stage guiding the surgeon in the tumor persistence until the complete surgical excision. Mohs micrographic surgery is a precise treatment for penile neoplasms and its utility is justified because the removal of a substantial surgical margin of normal tissue is obviated. MoHs micrographic surgery is indicated in the treatment of penile verrucous carcinoma due to the significant risk of loco-regional recurrence after conventional surgery. Although infrequent, other penile neoplasms that can benefit from Mohs micrographic surgery are: basal cell carcinoma, extrammamary Paget's disease, in situ melanoma and granular cell tumor.


Subject(s)
Mohs Surgery/methods , Penile Neoplasms/surgery , Humans , Male , Urologic Surgical Procedures, Male/methods
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