title: [Surgical treatment of malignant skin tumors of the external genital area].
abstract: Sixteen cases of malignant skin tumors (extramammary Paget's diseases, 12 cases, squamous cell carcinoma, 4 cases) of the external genital area in the past 7 years are reviewed. In the surgical management of both Paget's disease and squamous cell carcinoma, a wide local excision should be performed in which an excision is made two to five cm from the tumor margin. Therapeutic regional lymph node dissection (ilioinguinal dissection) on the basis of clinical and lymphographic findings should be performed. In most cases the resurfacing of the defect, the split thickness skin graft (often mesh graft) is used as a rule, while the skin flap or the musculocutaneous flap such as gracilis muscle or tensor fascia lata muscle is applied only in some cases in which femoral artery and vein were widely exposed, or the full thickness defect of the lower abdominal wall remained.
authors.affiliation: Dept. of Plastic and Reconstructive Surgery, Hokkaido University School of Medicine.
authors.forename: T
authors.initials: T
authors.lastname: Sugihara
authors.forename: T
authors.initials: T
authors.lastname: Yoshida
authors.forename: T
authors.initials: T
authors.lastname: Ohura
authors.forename: H
authors.initials: H
authors.lastname: Minakawa
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D005260:Female; D005833:Genital Neoplasms, Female / Q000601:surgery*; D005834:Genital Neoplasms, Male / Q000601:surgery*; D006801:Humans; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D010145:Paget Disease, Extramammary / Q000601:surgery; D012878:Skin Neoplasms / Q000601:surgery*; D013524:Surgical Flaps