EADV 2025｜冷冻手术及成像技术在皮肤病学中的应用

我是Paola Pasquali，是来自西班牙的一名医生，我的主要兴趣领域是成像技术和冷冻手术。 在这届大会中，我有机会提出将微创技术用于治疗老年人皮肤癌。我认为这是一个非常重要的话题，因为我们需要改变皮肤癌领域的治疗模式，不能用 “一刀切” 的通用方法应对所有皮肤癌，尤其是在治疗身体虚弱、患有合并症或存在其他健康问题的患者时。所以从根本上而言，我真正想推动的是为每个患者提供个性化医疗。

明天我将负责手术主题汇报中的一个演讲，会侧重讲述冷冻外科技术。它是一种微创外科技术，可用于多种治疗场景，包括良性肿瘤、恶性肿瘤的治疗以及姑息治疗。而且这种技术也适用于坐轮椅的患者和卧床患者，这也是我经常将其用于老年患者治疗的原因。

由于我也对影像领域感兴趣，还将负责一个会议主题，专门讲解如何拍出高质量的照片。在皮肤病学中，影像非常重要，但目前我们的期刊和演讲中仍存在大量质量不佳的图像。因此，该主题的目标是教授拍摄优质照片的基础知识 —— 未来期刊对图像质量的要求会越来越严格，只有最优质的图像才会被接受。

最后，在大会的最后一天（周六），作为远程皮肤病学特别工作组的一员（该工作也与影像相关），我将展示欧洲远程皮肤病学的相关成果。我想以上就是我在本届大会上的所有汇报内容了。我希望更多人能参与到这类大会中来，明年的大会将在雅典举办，之后还会在维也纳举办，欢迎大家参加。

My name is Paola Pasquali. I'm a doctor from Spain, and my main area of interest is imaging techniques and cryosurgery. In this Congress, I've had the opportunity to present the uses of minimally invasive techniques in the treatment of skin cancer in the elderly. I think this is a very important topic, because we need to change the paradigm of what we do in skin cancer. We can not have a one size fits all approach to skin cancer, especially when treating patients that are frail, have comorbidities, and have other medical problems. So basically, what I'm really promoting here is that we individualize medicine for each patient.

Tomorrow I will be in charge of one of the talks in the surgery session, and I will speak a little bit more about cryosurgery. It is a minimally invasive surgical technique that allows many types of treatments, from benign to malignant ones, and palliative treatments. You can also perform it on people in wheelchairs or in beds, which is why I use it a lot for elderly patients.

Since I'm also interested in imaging, I will be in charge of a session dedicated to how to take good photos. Imaging is very important in dermatology, but we still get very bad images in our journals and presentations. So the goal of that session is to teach the basics of taking good photographs. Journals will be stricter and stricter on image quality, and only the best ones will be accepted.

Finally, on the last day of the Congress (Saturday), as part of the Teledermatology Task Force – which also relates to imaging – I will present the results on teledermatology in Europe. I think that covers all my presentations for this Congress. I hope many people can participate in these congresses; next year's will be in Athens, followed by Vienna, and you're all welcome.