Adequacy of surgical margins, re-excision, and evaluation of factors associated with recurrence: a retrospective study of 769 basal cell carcinomas

Ürün, Yıldız Gürsel; Can, Nuray; Bağış, Merve; Solak, Sezgi Sarıkaya; Ürün, Mustafa

doi:10.1016/j.abd.2022.07.005

Cited by 5 publications

(2 citation statements)

References 44 publications

(65 reference statements)

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“…In a retrospective study by Ürün et al (2022), they found that the rate of non-radical (R1) excisions was 18.9%, and the recurrence rate was 9.6% in BCC treated with SSE. Their findings also demonstrated a statistically significant higher recurrence rate for incompletely removed tumors compared to those removed with radical excision ( p < 0.05) [ 5 ]. In our research, a similar trend of statistical dependence was observed, with BCC recurrence after R1 operations being 14.5% higher, while the overall recurrence was 3.2% lower.…”

Section: Discussionmentioning

confidence: 99%

“…Its occurrence in the nasal region presents intricate challenges for surgeons due to anatomical, functional, and aesthetic issues [1][2][3][4]. The prevalence of this heterogeneous group of tumors, encompassing a spectrum of histopathological and clinical traits spanning from superficial lesions to extensive, destructive manifestations, has demonstrated a consistent upward trend on a global scale in recent decades, notably among the elderly population [1,[5][6][7]. In European countries, including Lithuania, the average life expectancy of the population is on the rise.…”

Section: Introductionmentioning

confidence: 99%

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Assessment of Standard Surgical Excision Efficacy and Analysis of Recurrence-Associated Factors in 343 Cases of Nasal Basal Cell Carcinoma: A Single-Center Retrospective Study

Baltrušaitytė,

Zacharevskij,

Pilipaitytė

et al. 2024

Healthcare

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In Caucasians, basal cell carcinoma, the predominant non-melanoma skin cancer type, poses challenges for surgeons due to anatomical and aesthetic concerns, particularly when located on the nose. The study aimed to evaluate tumor distribution, size, morphological subtypes, surgical outcomes, radicality levels, and their correlation with recurrence rates. A retrospective analysis encompassed 343 cases of nasal skin cancer over a four-year period from 1 January 2019 to 31 December 2022. The research cohort comprised 252 female and 91 male participants, averaging 75.2 years old. Tumors were most found on the left sidewall of the nose (25.4%) and the dorsum (24.8%). The infiltrative morphological subtype was predominant (70.8%). Standard surgical excision with fasciocutaneous plastic was the preferred surgical procedure. Radical excision, defined by the absence of tumor cells in a resection margin, was accomplished in 79.0% of lesions, whereas 16.9% demonstrated incomplete excision, signifying the presence of tumor cells in the resection margin. Non-radically excised tumors exhibited a significantly higher recurrence rate (24.1%) compared to those with radical excision (6.3%). In nasal reconstruction, diverse surgical techniques are essential for precise adaptation based on factors like tumor characteristics and patient needs. Despite surgeons’ careful adherence to excision margin guidelines, the possibility of non-radical outcome cannot be eliminated.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Assessment of Standard Surgical Excision Efficacy and Analysis of Recurrence-Associated Factors in 343 Cases of Nasal Basal Cell Carcinoma: A Single-Center Retrospective Study

Baltrušaitytė,

Zacharevskij,

Pilipaitytė

et al. 2024

Healthcare

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Versatile Use of V-Y Advancement Flap for Facial Defect Reconstruction: A Case Series in Asian Patients

Chang,

Lu,

Lin

et al. 2024

Aesth Plast Surg

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Characterization of patients treated with conventional dermatological surgery at hospital level

Hernández López,

Vega Jiménez,

Naranjo del Pino

et al. 2023

Salud, Ciencia y Tecnología - Serie de Conferencias

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Introduction: In recent decades the incidence of skin lesions that affect the patient's health has been increasing and the dermatosurgical field has boomed.Objective: To characterize patients treated with conventional dermatological surgery at the hospital level.Methods: An observational, descriptive and cross-sectional study was carried out on patients undergoing dermatological surgery treated in a dermatology consultation at the Faustino Pérez Hernández provincial clinical surgical teaching hospital in the province of Matanzas, Cuba, between September 2020 and September 2021. The sample consisted of 35 cases. The research was carried out in the Dermatology service during four moments (outpatient consultation, surgical procedure, post-surgical re-consultation and re-consultation).Results: The female sex and the sixth decade of life predominated with 62,8 % each. Skin phototype I represented 40 %. Basal cell carcinoma was identified as the predominant clinical diagnosis in 40 %. Elliptical excision with 45,7 % was the most practiced surgical technique. Wound dehiscence with 54,5 % was the most frequent complication of the surgical procedure.Conclusions: The study demonstrated the safety and efficiency of dermatological surgery and the strengthening of the foundations of the specialty as a surgical clinic.

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Adequacy of surgical margins, re-excision, and evaluation of factors associated with recurrence: a retrospective study of 769 basal cell carcinomas

Cited by 5 publications

References 44 publications

Assessment of Standard Surgical Excision Efficacy and Analysis of Recurrence-Associated Factors in 343 Cases of Nasal Basal Cell Carcinoma: A Single-Center Retrospective Study

Assessment of Standard Surgical Excision Efficacy and Analysis of Recurrence-Associated Factors in 343 Cases of Nasal Basal Cell Carcinoma: A Single-Center Retrospective Study

Versatile Use of V-Y Advancement Flap for Facial Defect Reconstruction: A Case Series in Asian Patients

Characterization of patients treated with conventional dermatological surgery at hospital level

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