Marking sutures to orientate specimens of basal cell carcinoma: do they really make a difference?

Tullett, Mark; Whittaker, M.; Walsh, Stephen R.

doi:10.1016/j.bjoms.2016.04.007

Cited by 4 publications

(2 citation statements)

References 10 publications

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“…A total of 106 832 BCC and 21 569 SCC excisions were included. These were excised from 53 796 patients across all studies (25 studies did not report the number of patients, instead reporting the number of lesions only) 16,17,34,49,59,60,62,68,69,71‐74,78,81,95,103,106,108,111,114,119,131,133,134 . The mean (± SD) age of patients undergoing BCC excision was 67·4 (± 14·9 years) and for SCC excision was 70·9 (± 14·1 years).…”

Section: Resultsmentioning

confidence: 99%

Incomplete surgical excision of keratinocyte skin cancers: a systematic review and meta‐analysis*

et al. 2020

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Summary Background Keratinocyte or nonmelanoma skin cancer (NMSC) is the commonest malignancy worldwide. The usual treatment is surgical excision. Current guidelines underestimate incomplete excision rates. Objectives We aimed to determine the risk of incomplete excision of NMSCs through a systematic review and meta‐analysis of primary clinical studies. Methods A PRISMA‐compliant systematic review and meta‐analysis was performed using methodology proposed by Cochrane (PROSPERO CRD42019157936). A comprehensive search strategy was applied to MEDLINE, Embase, Scopus, CINAHL, EMCare, Cochrane Library and the grey literature (January 2000–27 November 2019). All studies were included except those on Mohs micrographic surgery, frozen section or biopsies. Abstract screening and data extraction were performed in duplicate. Risk of bias was assessed using a tool for prevalence/incidence studies. The primary outcome was the proportion of incomplete surgical excisions. A random‐effects model for pooling of binomial data was used. Differences between proportions were assessed by subgroup meta‐analysis and meta‐regression, which were presented as risk ratios (RRs). Results Searching identified 3477 records, with 110 studies included, comprising 53 796 patients with 106 832 basal cell carcinomas (BCCs) and 21 569 squamous cell carcinomas (SCCs). The proportion of incomplete excisions for BCC was 11·0% [95% confidence interval (CI) 9·7–12·4] and for SCC 9·4% (95% CI 7·6–11·4). Proportions of incomplete excisions by specialty were: dermatology, BCCs 6·2% and SCCs 4·7%; plastic surgery, BCCs 9·4% and SCCs 8·2%; general practitioners, BCCs 20·4% and SCCs 18·9%. The risk of incomplete excision for general practitioners was four times that of dermatologists for both BCCs (RR 3·9, 95% CI 2·0–7·3) and SCCs (RR 4·8, 95% CI 1·0–22·8). Studies were heterogeneous (I2 = 98%) and at high risk of bias. Conclusions The proportion of incomplete excisions is higher than previously reported. Excisions performed by specialists may lower the risk of incomplete excision.

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Section: Resultsmentioning

confidence: 99%

Incomplete surgical excision of keratinocyte skin cancers: a systematic review and meta‐analysis*

et al. 2020

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“…Tullet et al questioned whether the marking sutures for orientation were useful for further management of BCC, and in his study, only one case was re-operated based on those margins (0.2%). They concluded that routine marking is not necessary and should be performed in case of ill-defined lesions or for histopathological types with high risk [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Basal Cell Carcinoma—A Retrospective Descriptive Study Integrated in Current Literature

Giuglea

Marin

Gavrila

et al. 2023

Life

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Basal cell carcinoma (BCC) is considered to be the most common cancer in humans. It has a slow growth rhythm, and for this reason, metastases are rare. For our retrospective study, we selected 180 patients from those who underwent surgery for a variety of skin tumours between January 2019 and August 2022 and whose histopathological examination revealed basal cell carcinoma. All surgeries were performed by plastic surgeons at the “St. John” hospital in Bucharest. The aim of this article is to provide observational data regarding BCC—in terms of histopathology and diagnostic and therapeutic management and to integrate these data into the current knowledge of this pathology.

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Variation in UK Deanery publication rates in the British Journal of Oral and Maxillofacial Surgery: where are the current 'hot spots'?

Turner

Hammond

Goodson

2021

British Journal of Oral and Maxillofacial Surgery

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Marking sutures to orientate specimens of basal cell carcinoma: do they really make a difference?

Cited by 4 publications

References 10 publications

Incomplete surgical excision of keratinocyte skin cancers: a systematic review and meta‐analysis*

Incomplete surgical excision of keratinocyte skin cancers: a systematic review and meta‐analysis*

Basal Cell Carcinoma—A Retrospective Descriptive Study Integrated in Current Literature

Variation in UK Deanery publication rates in the British Journal of Oral and Maxillofacial Surgery: where are the current 'hot spots'?

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