隆突性皮膚纖維肉瘤(DFSP)的手術治療-莫氏手術(Mohs micrographic surgery)
https://dryenjen.blogspot.tw/
隆突性皮膚纖維肉瘤的治療方法為"完全切除腫瘤"。
問題是: 怎麼知道有沒有切乾淨? 你怎麼知道要往外切一公分? 切兩公分?切四公分?
如果切完就立刻關傷口,等到病理報告出來,只能跟病人說"因為沒切乾淨",所以要較密集追蹤?
"
這些解答,就是用"莫式手術"。保留最多的健康組織,又能確保切除所有的腫瘤。因為DFSP就像是有很多腳的章魚,不是一顆圓圓的皮球,所有徹底清除所有爪牙是不容易的,但是莫氏手術是客製化的,雖然耗費時間,卻能得到位高的腫瘤清除率。
最近收到一個病人跟我說,她之前是在香港治療隆突性皮膚纖維肉瘤,其實英文的資料很多,偶然發現我寫的衛教文章才發現有中文的。
對我來說,要請病人去看英文的資料.......何不自己寫呢? 況且我手術之前還是會跟病人再解釋一次,有加上圖的解釋,會更清楚明瞭。
網路上關於皮膚保養,美容的相關文章很多,但是得了皮膚癌的病人,卻不容易得到正確的知識,所以雖然我知道需要的也許只是少數人,還是想成立這個粉專跟網誌。
#皮膚專科
圖片出處: Journal of Plastic, Reconstructive & Aesthetic Surgery (2014) 67, 1315e1321
「reconstructive surgery中文」的推薦目錄:
reconstructive surgery中文 在 我是一個小胖紙 名字叫百威 Facebook 的最佳解答
幫幫忙😊😊😊
PLEASE SHARE! OUR 113 DOGS NOW HAVE LESS THAN 40 DAYS!
我們的狗狗只剩下兩個月了!(中文翻譯在下面)
Dear friends of @PACK - People for Animal Care & Kindness
Cesar Millan is asking for your help!
Court officials came to our SanZhi Sanctuary last month to give us notice to evict the property. We must be out by July 31. If any dogs remain after that date, they will be taken to a government kill pound.
Meet the 113: https://youtu.be/-R8BOMdwZAQ
WE CAN SAVE THEM!
We have permission from new Taipei City officials to build sanctuary gardens at our Dog Kingdom site. Work can begin as soon as we have enough money to start putting up fences.
We need to raise about NT$2 million (£42,000/US$63,000) before the end of July.
PLEASE, if everyone just donates NT$500 (£10/US$15) we can do it.
The SanZhi Sanctuary is home to dogs like ChiChi and Pudding, who have been undergoing reconstructive surgery to rebuild their faces; like Hope, Roo, Scotty, ShanDee, and a dozen other dogs who have lost at least one leg each to illegal gin traps and snares; and like Bernie, Clinton, and 40 others who are too difficult to find good homes elsewhere
All 113 of our SanZhi dogs are deserving of a happy, healthy life.
Please contribute if you can; our builders are standing by!
SPONSOR the #PACKBigBuild !
Each metre of fence costs NT$1,300 (£27/US$40).
Each dog-sanctuary door costs NT$6,000 (£125/US$183).
Please help us build a beautiful, permanent home for our 320 rescued animals!
Donation info 捐款方式:
PAYPAL
Simply make a payment to donate@PACKcharity.org
(mention PACKBigBuild in the details section)
Or visit our PACK donation page:
http://www.packcharity.org/#!the-big-...
CREDIT CARD
(Follow the instructions for 'Don't have a PayPal account?' Mention PACKBigBuild in the details section if possible.)
TEXT
Donors in the UK can simply text 'PACK' to 70660 to automatically donate a lifesaving £3 a month. (Please email donate@thesanctuarytaiwan.org with the last five digits of your phone number for confirmation; include PACKBigBuild in the heading or text.)
THANK YOU!
我們的狗狗只剩下兩個月了!
親愛的 PACK - People for Animal Care & Kindness朋友們!
我們害怕的這一天還是到來了!法院正式對我們三芝據點的狗狗們下了驅逐令!
在七月底前我們若沒有遷出這個地點,狗狗們將被帶到公立的收容所!
我們可以救他們!
我們已有新北市政府的許可,可以在Dog Kingdom據點建造庇護花園!我們只需要湊到足夠的錢圍籬施工就能夠盡快開始。
我們在七月底前約需要台幣兩百萬 (£42,000/US$63,000)
拜託大家,如果一個人能共幫忙我們500塊 (£10/US$15) 我們就能做到!
三芝據點是許多狗狗的家,像是琪琪與布丁,他們接受過臉部重建手術,Hope,Roo,Scotty, ShanDee,還有好多好多狗狗因為非法捕受夾的傷害,失去了至少一隻腳,這些狗狗除了庇護所,真的很難找到家,三芝據點的120狗狗值得一個快樂健康的生活!
如果可以請幫助他們吧!施工的廠商已經準備好了!
贊助 #PACKBigBuild !
每公尺的圍籬需要台幣1,300元(£27/US$40).
每一扇狗舍的們需要台幣6,000元(£125/US$183).
請幫助我們救援的這320隻動物們建造一個美麗永久的家!
捐款方式:
PAYPAL
簡單付款給 donate@PACKcharity.org
(記得在細節中提到 PACKBigBuild)
或是拜訪我們的募資網站
http://www.packcharity.org/#!the-big-...
TEXT
英國的捐款者可以簡單傳送 'PACK' 到 70660 每個月會自動傳送這救命的 £3 到庇護所. (請 email至 donate@thesanctuarytaiwan.org 提供您的電話後五碼作為確認; 並在標題或內文寫下 #PACKBigBuild )
感謝您!