​​​​​​​​​​​​​鍾經略醫生【皮膚科碩士 x 美容醫學碩士】課程研究​

​​​​地址 香港中環皇后大道中9號嘉軒廣場

電話 Tel 23630598（註 6 Note 6）

Address: the Galleria, No. 9 Queen's Road Central, Hong Kong

（1）脫墨案例/價錢（2）脫墨影片（3）最新脫墨資訊​ （４）各種切除術的比較 （５）面部不同部位的縫合技術

 1. Everything about mole removal   2. Case studies & Surgical fees of diff moles   3. Mole removal video 

病例：

65歲，女士，過往病歷良好，沒癌症家族史。

此乃結節潰瘍型基底細胞癌

初起是表皮出現一個小米粒至豌豆大小的蠟樣小結節，一般表皮相當硬，表面上常有小數擴張的毛細血管，略高於皮膚表面，或僅似紅斑而並不顯隆起，或略呈結節狀，表面的皮膚輕度向下凹陷。結節可逐漸擴大或新的損害在附近出現，相互融合，形成一個有蠟樣光澤的盤形斑塊，中央往往結成棕色、黃褐色或黯灰色痂，繼而痂下發生潰瘍，逐漸擴大，形成圓形、橢圓形或不整形潰瘍，大小自指甲蓋至銅錢大小不等，潰瘍邊緣堅實及卷起，往往呈半透明狀並凸凹不平，周圍皮膚無炎症，底部呈珍珠樣或蠟樣外觀，有時損害表面完全為痂所覆蓋。潰瘍緩慢向四周及深部擴展，有如鼠咬狀，形成基底細胞癌的一種典型臨床形態，名為侵蝕性潰瘍。潰瘍可部分癒合而發生瘢痕，亦可擴展至皮下組織甚至軟骨及骨骼。各種組織可被摧毀而成深坑狀。發生於面部能破壞鼻、耳、眼眶及上頜竇等部位的軟骨和骨組織，引起出血或顱內侵犯或毀形。基底細胞癌損害發展緩慢，一般極少發生區域淋巴結轉移，也不轉移到別處。

患處以傳統手術切割出來，留有5mm正常皮膚邊緣，傷口以 線縫合。腫瘤留下以作組織病理化驗。

化驗證實為結節基底細胞皮膚癌，腫瘤被完全切除，邊界沒有癌細胞，沒有入侵神經，血管或淋巴腺的蹟像。

Details:

pT1
Max depth of invasion = 0.2cm
Peritumoural lymphovascular / perineural permeation absent
Resection margins clear

建議定期覆診及跟進。

🩺 Case Summary

Patient Profile: A 65-year-old female with no significant past medical history and no family history of cancer.

Diagnosis: Noduloulcerative Basal Cell Carcinoma (BCC)

Clinical Presentation: The lesion initially appeared as a waxy papule, ranging in size from a millet grain to a pea. The epidermis was notably firm, with a few dilated capillaries visible on the surface. The lesion was slightly elevated or presented as a flat erythematous area, occasionally nodular, with mild central depression. Over time, the nodule enlarged or new lesions emerged nearby, merging into a waxy, disc-shaped plaque. The center often developed a crust—brown, yellowish-brown, or dark gray—which later ulcerated beneath the crust.

The ulcer gradually expanded, forming round, oval, or irregular shapes, ranging from the size of a fingernail to a coin. The ulcer margins were firm, rolled, and often translucent with an uneven surface. Surrounding skin showed no signs of inflammation. The base exhibited a pearly or waxy appearance, and in some cases, the lesion was entirely covered by crust.

The ulcer slowly extended both laterally and deeper into tissue, resembling a "rodent ulcer"—a classic presentation of invasive basal cell carcinoma. Partial healing and scarring may occur, but the lesion can invade subcutaneous tissue, cartilage, and bone, leading to crater-like destruction. When located on the face, it may damage structures such as the nose, ears, orbit, and maxillary sinus, potentially causing bleeding, intracranial invasion, or disfigurement.

Basal cell carcinoma typically progresses slowly, with rare regional lymph node involvement and minimal risk of distant metastasis.

Treatment: The lesion was excised via conventional surgery with a 5 mm margin of healthy skin. The wound was closed with sutures, and the excised tumor was submitted for histopathological examination.

Pathology Report: Confirmed nodular basal cell carcinoma. The tumor was completely excised with clear margins. No evidence of perineural, vascular, or lymphatic invasion was found.

Details:

pT1
Max depth of invasion = 0.2cm
Peritumoural lymphovascular / perineural permeation absent
Resection margins clear

Long term follow up was suggested
 

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拆線後，疤痕逐漸消失。

拆線後，疤痕逐漸消失。

腫瘤化驗後證實是基底細胞皮膚癌。

Histology examination report - result: Basal cell carcinoma

腫瘤切除後留下頗大的傷口。

近鏡觀察腫瘤。

皮膚癌 – 基底細胞皮膚癌
主診醫生：鍾經略醫生
監督及指導機構 – 英國倫敦大學皮膚科
位於左眼下方面部的一粒皮膚腫瘤。

Skin cancer - Basal cell carcinoma

Location: left lower eyelid

Doctor-in -charge: Dr Chung King Lueh

supervised by Department of dermatology, University of London