Recurrence Rates of Primary Nonmelanoma Skin Cancers Treated by Surgical Excision Compared to Electrodesiccation-Curettage in a Private Dermatological Practice

Werlinger, Kelly D.; Upton, Gary; Moore, Angela

doi:10.1046/j.1524-4725.2002.02110.x

Cited by 35 publications

(24 citation statements)

References 13 publications

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“…Previous studies demonstrated highest recurrence rates after C&ED for BCC in the H-zone. [3][4][5] In our study, location within the H-zone was not found to be a statistically significant risk factor for recurrence. Maximum tumour diameter, growth pattern and increasing age did not seem to influence the recurrence risk in this study, which is in accordance with some studies, but in contrast with other reports.…”

contrasting

confidence: 59%

“…1,2 Recurrence rates for BCC after C&ED range from 1% to 27%, influenced by anatomical location, histopathological growth pattern and size. [2][3][4][5][6][7] Therefore, most guidelines recommend C&ED as treatment solely in low-risk BCC, typically defined as primary and small BCC (≤ 5 mm) with no clinical suspicion of infiltrative growth in low-risk areas [outside the H-zone (nasolabial fold, nasal alae, orbital area and auricular area)]. However, with the rapidly increasing incidence of BCC this policy will probably be hard to follow in the future.…”

mentioning

confidence: 99%

“…The recurrence rate in this study (6%) falls within the range of recurrence rates presented in earlier studies (1-27%). [2][3][4][5][6][7] Our follow-up time was relatively short considering recurrences could appear many years after initial treatment, and a longer follow-up time is suggested for future research. Previous studies demonstrated highest recurrence rates after C&ED for BCC in the H-zone.…”

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confidence: 99%

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A retrospective study on the effectiveness of curettage and electrodesiccation for clinically suspected primary nodular basal cell carcinoma

Lubeek

Arnold

2016

Br J Dermatol

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A retrospective study on the effectiveness of curettage and electrodesiccation for clinically suspected primary nodular basal cell carcinoma An easy, cheap, and practical therapy for nodular basal cell carcinoma (nBCC) is curettage combined with electrodessication (C&ED). 1,2 Recurrence rates for BCC after C&ED range from 1-27%, influenced by anatomic location, histopathologic growth pattern, and size. 2-7

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confidence: 59%

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confidence: 99%

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confidence: 99%

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A retrospective study on the effectiveness of curettage and electrodesiccation for clinically suspected primary nodular basal cell carcinoma

Lubeek

Arnold

2016

Br J Dermatol

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“…They are associated with high cure rates for BCC (95%) and SCC (92%) [52,53]. Recurrence rates following this procedure are low at 3-6% for primary BCC <1 cm in size [54,55,56]. …”

Section: Classical Therapy Of Nmscsmentioning

confidence: 99%

Neoplastic Multifocal Skin Lesions: Biology, Etiology, and Targeted Therapies for Nonmelanoma Skin Cancers

Fernandes

Santos²,

Kovačević³

et al. 2017

Skin Pharmacol Physiol

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Neoplastic skin lesions are multifocal, diffuse skin infiltrations of particular relevance in the differential diagnosis of ulcerative, nodular, or crusting skin lesions. Nonmelanoma skin cancers (NMSCs), namely, basal cell carcinoma (BCC), squamous cell carcinoma (SCC), and also actinic keratosis (AK), are the most common malignant tumors in humans. BCCs do not proliferate rapidly and most of the times do not metastasize, while SCCs are more infiltrative, metastatic, and destructive. AKs are precursor lesions of cutaneous SCCs. The classical therapy of NMSCs makes use of photodynamic therapy associated with chemotherapeutics. With improved understanding of the pathological mechanisms of tumor initiation, progression, and differentiation, a case is made towards the use of targeted chemotherapy with the intent to reduce the cytotoxicity of classical treatments. The present review aims to describe the current state of the art on the knowledge of NMSC, including its risks factors, oncogenes, and skin carcinogenesis, discussing the classical therapy against new therapeutic options.

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“…Werlinger et al describe its use for cSCC, with 2 cases of recurrence after treatment of 56 patients compared to no recurrences with surgical excision. Average tumor size in the study was 7.9 mm [57]. Because recurrence rates are greater in higher risk tumors, electrodesiccation and curettage is reserved for small, superficial tumors in noncosmetically important areas [58].…”

Section: Treatmentmentioning

confidence: 99%

Cutaneous Squamous Cell Carcinoma of the Head and Neck

Gurudutt

Genden²

2011

Journal of Skin Cancer

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Cutaneous squamous cell carcinoma of the head and neck is an epidemic that reaches all parts of the world. Making the diagnosis relies on the acumen of the clinician and pathologist. Various pathologic subtypes exist and differ in histology and prognosis. High-risk tumors need aggressive treatment and vigilant surveillance to monitor for recurrence. Large tumors, deep tissue invasion, perineural involvement, recurrence, location in high-risk areas, and immunosuppression are implicated in worsening prognosis. Surgery is the mainstay of treatment with adjuvant radiation therapy as needed for aggressive tumors; however, other modalities are potentially useful for low-risk lesions. The use of Mohs surgery has become increasingly useful and has shown high success rates. Involvement of parotid and neck lymph nodes significantly affects outcomes and the physician should be comfortable with management of this complex disease. This paper examines the diagnosis, pathology, clinical course, and treatment options for cutaneous squamous cell carcinoma of the head and neck.

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Recurrence Rates of Primary Nonmelanoma Skin Cancers Treated by Surgical Excision Compared to Electrodesiccation-Curettage in a Private Dermatological Practice

Abstract: In contrast to other studies reported from academic centers in which surgical excision has been found to have lower recurrence rates than tumors treated with curettage and electrodesiccation, this study found recurrence rates for two treatments to be approximately the same.

Cited by 35 publications

References 13 publications

A retrospective study on the effectiveness of curettage and electrodesiccation for clinically suspected primary nodular basal cell carcinoma

A retrospective study on the effectiveness of curettage and electrodesiccation for clinically suspected primary nodular basal cell carcinoma

Neoplastic Multifocal Skin Lesions: Biology, Etiology, and Targeted Therapies for Nonmelanoma Skin Cancers

Cutaneous Squamous Cell Carcinoma of the Head and Neck

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