title: Complete skin resection of the dorsum of the hand: a prophylactic approach using a dermal regeneration template.
abstract: BACKGROUND
  Surgical treatment of multiple and recurring invasive carcinomas on the dorsum of the hand often results in a reconstructive challenge. Reconstruction is limited due to reduced adjacent tissue. Preserving the functionality of the hand is pivotal and needs to be respected while planning reconstruction.
  
  
  OBJECTIVE
  We present a case of extensive, multiple, and recurring invasive squamous cell carcinoma on the dorsum of the hand and describe a prophylactic surgical approach.
  
  
  METHODS
  We performed a radical excision of the skin on the dorsum of the hand and surgical reconstruction using a bilayer dermal skin substitute and split-thickness skin grafting.
  
  
  RESULTS
  After a 1-year follow-up, we observed an excellent cosmetic and functional result with no signs of recurrence.
  
  
  CONCLUSIONS
  In case of extensive invasive squamous cell carcinoma on the dorsum of the hand, prophylactic resection and surgical reconstruction using a dermal regeneration template should be considered.
authors.forename: Schapoor
authors.initials: S
authors.lastname: Hessam
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Georgas
authors.forename: Michael
authors.initials: M
authors.lastname: Sand
authors.forename: Falk G
authors.initials: FG
authors.lastname: Bechara
mesh_terms: D005260:Female; D006225:Hand / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000601:surgery; D018307:Neoplasms, Squamous Cell / Q000473:pathology / Q000601:surgery*; D012878:Skin Neoplasms / Q000473:pathology / Q000601:surgery*; D016038:Skin Transplantation; D017768:Skin, Artificial