Marges d’exérèse chirurgicale et taux de récidive des carcinomes cutanés

Staub, Guilherme Jönck; Revol, M.; May, P.; Bayol, J.-C.; Verola, O.; Servant, J.-M.

doi:10.1016/j.anplas.2007.07.015

Cited by 32 publications

(14 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We are interested only in carcinomas with the criteria of a high-risk group, where the advanced malignant skin tumors of the face can be integrated. Resection was histologically incomplete in 11% of the cases according to the study of G. Staub et al [3] and 13% in the study of Ganeval-Stoll et al [19]. In our series The resection was incomplete in 13% of patients plus the 7% of patients whose purpose of resection was initially palliative, consistent with the results of G. Staub et al [3].…”

Section: Discussion:-supporting

confidence: 90%

“…In our study, 60 cases of Advanced malignant skin tumors of the face were treated, which concerned only the patients who met the inclusion criteria, with an estimated incidence of 8 new cases per year. This incidence remains very high in our population as elsewhere [3]. Basal squamous were the most frequent 55% and then squamous 40% and 1268 melanoma 2%.…”

Section: Discussion:-supporting

confidence: 51%

“…40% of cases), two cases of combination of basal and squamous carcinomas and only one case of melanoma. The same report was reported by several studies [3,4,17]. In front of local flooding and regional loco A radiological assessment was carried out according to clinical signs the histological type and the means of each patient.…”

Section: Discussion:-mentioning

confidence: 81%

“…Resection was histologically incomplete in 11% of the cases according to the study of G. Staub et al [3] and 13% in the study of Ganeval-Stoll et al [19]. In our series The resection was incomplete in 13% of patients plus the 7% of patients whose purpose of resection was initially palliative, consistent with the results of G. Staub et al [3]. Ganglionic clearing was performed in 9 patients (15%), whereas a. Ganeval-Stoll et al [19] reported a lower rate of 6.6%, they also reported a parotidectomy rate of 3.3%, whereas in our study, a superficial parotidectomy Conservative facial nerve was performed for 5 patients or 8%.…”

Section: Discussion:-mentioning

confidence: 99%

See 3 more Smart Citations

The Skin Tumors Evolved From the Face. Experience of the Plastic Surgery Department Chu Mohammed Vi About 60 Cases.

Quaboul¹,

ElMehdi²,

DrissAmrani³

et al. 2019

IJAR

View full text Add to dashboard Cite

Malignant cutaneous tumors Advancedthe face -Epidemiology.The malignant skin tumors advanced of the face represent a serious pathology due to its location, its evolutionary potential and especially its vital prognosis. All these factors and others justify the collective care as early as possible while respecting the convenience of the patient. From a retrospective study spread over a period of 7 years and half, we analyzed the epidemiological and clinical characteristics, the delay of diagnosis, the type of therapy and the outcome of 60 patients in our structure. The age of our patients varies between 7 and 89 years with an average age of 63 years and a clear male predominance (sex ratio = 3). The rural origin accounted for 87% and the majority of professions exposed to the sun. The mid-facial region was the site of 60% of the tumors studied. Histological results showed basal cell carcinoma predominance of 55%, followed by squamous cell carcinoma 40% and melanoma 2%. Tumors were classified as T4 in 73% with a concentration lesions mid-lock face/mid-facial 60%. The tumor resection was the rule in all our patients while respecting a margin of safety adapted to the histological type and tumor size. These margins were complete in 48 patients, incomplete in 12 patients (Xp and Epidermodysplasia) whose goal of resection was initially palliative. Lymph node dissection was performed in 7 patients. Exenteration was performed in 10 patients. A parotidectomy was performed in 5 patients. The repair process was adapted to the seat and the extent of the defects. Reconstruction was deferred in 83% of cases and involved various ways of skin grafting to muscular cutaneous flaps. Adjuvant radiotherapy was indicated in 17 patients. These findings should lead us for more precaution and to rethink our carcinological and reconstructive approach. The deployment of simple means allows local monitoring and prioritizes other means according to needs. A preventive approach remains a pillar in the management of these "historical" tumors.

show abstract

Section: Discussion:-supporting

confidence: 90%

Section: Discussion:-supporting

confidence: 51%

Section: Discussion:-mentioning

confidence: 81%

Section: Discussion:-mentioning

confidence: 99%

See 2 more Smart Citations

The Skin Tumors Evolved From the Face. Experience of the Plastic Surgery Department Chu Mohammed Vi About 60 Cases.

Quaboul¹,

ElMehdi²,

DrissAmrani³

et al. 2019

IJAR

View full text Add to dashboard Cite

show abstract

“…une marge d'au moins 10 mm est recommandée. La chirurgie micrographique de Mohs utilise un contrôle anatomopathologique tridimensionnel des berges d'exérèse afin de localiser les extensions tumorales infra-cliniques et peut permettre des exérèses avec des marges limitées au maximum, mais avec un coût largement supérieur [10,11]. En fonction de la taille de la tumeur et de la marge recommandée, la chirurgie peut aller de la simple exérèse suture sous anesthésie locale en consultation à une chirurgie plus mutilante nécessitant greffe ou lambeau.…”

Section: Traitementunclassified

Carcinomes épidermoïdes (ou spinocellulaires)

Perrinaud

2008

La Presse Médicale

View full text Add to dashboard Cite

Localized Non-melanoma Skin Cancer: Risk Factors of Post-surgical Relapse and Role of Postoperative Radiotherapy

Caparrotti

Troussier

Ali

et al. 2020

Curr. Treat. Options in Oncol.

View full text Add to dashboard Cite

Opinion statement The mainstay treatment of localized non-melanoma skin cancer (NMSC) is surgical excision or Mohs surgery. However, approximately 5% of patients with NMSC harbor high-risk clinicopathologic features for loco-regional recurrence, and distant metastasis. Prognostic factors such as close or positive margins, tumor size ≥ 2 cm, poor tumor differentiation, perineural invasion, depth of invasion, and immunosuppression have all been associated with increased loco-regional recurrence and impaired survival rates. In these patients more aggressive treatments are needed and radiotherapy (RT) is often discussed as adjuvant therapy after surgical resection. Due to the retrospective setting and the heterogeneity of the available studies, indications for adjuvant RT in patients with localized resected NMSC harboring high-risk features remain debated. Studies highlighting the limitations of our current understanding of the independent prognosis of each risk factor are needed to better define the role of adjuvant RT on outcome of localized NMSC and standardize its indications in the clinical setting.

show abstract

Marges d’exérèse chirurgicale et taux de récidive des carcinomes cutanés

Cited by 32 publications

References 15 publications

The Skin Tumors Evolved From the Face. Experience of the Plastic Surgery Department Chu Mohammed Vi About 60 Cases.

The Skin Tumors Evolved From the Face. Experience of the Plastic Surgery Department Chu Mohammed Vi About 60 Cases.

Carcinomes épidermoïdes (ou spinocellulaires)

Localized Non-melanoma Skin Cancer: Risk Factors of Post-surgical Relapse and Role of Postoperative Radiotherapy

Contact Info

Product

Resources

About