RESUMEN
This article summarizes recommendations reached following a systematic literature review and expert consensus on the diagnosis and management of cutaneous squamous cell carcinomas in people with epidermolysis bullosa. The guidelines are intended to help inform decision making by clinicians dealing with this complex complication of a devastating disease.
Asunto(s)
Carcinoma de Células Escamosas/terapia , Epidermólisis Ampollosa/complicaciones , Neoplasias Cutáneas/terapia , Amputación Quirúrgica/métodos , Miembros Artificiales , Carcinoma de Células Escamosas/diagnóstico , Carcinoma de Células Escamosas/prevención & control , Consenso , Humanos , Metástasis Linfática , Procedimientos Quirúrgicos Mínimamente Invasivos/métodos , Metástasis de la Neoplasia , Estadificación de Neoplasias , Dolor/prevención & control , Guías de Práctica Clínica como Asunto , Psicoterapia/métodos , Retinoides/uso terapéutico , Biopsia del Ganglio Linfático Centinela/métodos , Neoplasias Cutáneas/diagnóstico , Neoplasias Cutáneas/prevención & control , Cuidado Terminal/métodos , Técnicas de Cierre de HeridasRESUMEN
A new classification of fingertip injuries is presented. The PNB classification separates the injury into its effect on the three components of the fingertip: pulp, nail and bone. This provides a three digit number that accurately describes the injury. This new classification can be used to record and document injuries, without having to resort to lengthy description. It could also be used to provide detailed instructions for treatment and indications for referral. Examples of the application of the classification are given.