2018
DOI: 10.1590/abd1806-4841.20187089
|View full text |Cite
|
Sign up to set email alerts
|

Abstract: Surgical excision of basal cell carcinoma with minimum margins requires serial assessment of layers by frozen histopathology in the case of Mohs micrographic surgery. Evaluation of presurgical tumor margins by in vivo reflectance confocal microscopy is a potential alternative. We selected 12 basal cell carcinoma lesions that were analyzed by confocal microscopy to define margins. The lesions were excised by Mohs surgery. Six tumors showed negative margins in the first phase of Mohs micrographic surgery. We con… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1
1

Citation Types

1
3
0

Year Published

2019
2019
2024
2024

Publication Types

Select...
4

Relationship

1
3

Authors

Journals

citations
Cited by 4 publications
(4 citation statements)
references
References 19 publications
1
3
0
Order By: Relevance
“…[26][27][28][29][30][31] Recently, different authors evaluated the potential role of RCM in the preoperative setting of MMS to facilitate surgical planning and reduce the stages required and suggested the use of this method by Mohs surgeons. 32,33 Particularly, Navarrete et al confirmed previous results with a 92.8% RCM sensitivity and 68.4% specificity in presurgical detection of residual BCC compared with frozen-section histopathology. 34 Moreover, Pellacani et al 35 investigated RCM application for presurgical margin mapping in lentigo maligna of the face with a 92% sensitivity and a 57% specificity correlated to histopathology.…”
Section: Reflectance Confocal Microscopysupporting
confidence: 54%
See 1 more Smart Citation
“…[26][27][28][29][30][31] Recently, different authors evaluated the potential role of RCM in the preoperative setting of MMS to facilitate surgical planning and reduce the stages required and suggested the use of this method by Mohs surgeons. 32,33 Particularly, Navarrete et al confirmed previous results with a 92.8% RCM sensitivity and 68.4% specificity in presurgical detection of residual BCC compared with frozen-section histopathology. 34 Moreover, Pellacani et al 35 investigated RCM application for presurgical margin mapping in lentigo maligna of the face with a 92% sensitivity and a 57% specificity correlated to histopathology.…”
Section: Reflectance Confocal Microscopysupporting
confidence: 54%
“…Several studies proposed specific RCM criteria with dermoscopic and histopathological correlation for the definition of those different clinical entities 26–31 . Recently, different authors evaluated the potential role of RCM in the preoperative setting of MMS to facilitate surgical planning and reduce the stages required and suggested the use of this method by Mohs surgeons 32,33 . Particularly, Navarrete et al confirmed previous results with a 92.8% RCM sensitivity and 68.4% specificity in presurgical detection of residual BCC compared with frozen‐section histopathology 34 .…”
Section: Introductionmentioning
confidence: 76%
“…RCM determines tumor boundaries by observing the presence of tumor islands in the tissue. Teixeira et al 10 used RCM to delineate the tumor boundaries in 12 BCCs preoperatively and subsequently resected the tumor by MMS surgery with reference to these boundaries; 6 cases showed negative margins in the first stage of MMS, which reduced the number of frozen sections taken intraoperatively and shortening the time of surgery. Because of its high resolution and fast imaging speed, OCT can be used to determine the BCC boundaries by recognition of because of its high resolution and fast imaging speed, OCT can be used to determine the BCC boundaries by recognition of dark oval silhouettes with a dark border and epidermal thinning.…”
Section: Discussionmentioning
confidence: 99%
“…Based on reflectance confocal microscopy, where images are parallel to the surface at horizontal orientation, which allows a broader analysis of the tumor architecture, this study aimed to present a new way of evaluating the tumor enucleation material from the horizontal histological analysis of the fragment resulting from the removal of the visible tumor obtained by enucleation in the first step of MMS 7, 8…”
Section: Introductionmentioning
confidence: 99%