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:10.1097/00042728-200212000-00009

Cited by 17 publications

(25 citation statements)

References 12 publications

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“…In skilled hands curettage can approach the effieaey of surgical exeision (1,15,22), with cure rate of 90% or higher. However, for the inexperienced physicians the recurrence rates of over 30% are not uncommon, due to a poor curettage technique or inappropriate selection of patients (15,17,23).,Supervision and more intensive teaching of dermatology residents results in a mucb lower recurrence rates (23) wbieh is supported here by the data showing a greater than 6-fold decrease in relapses wbere the BCC were treated in a setting of a specialized skin cancer unit in our institution.…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting the Recurrence Rate of Basal Cell Carcinoma

Bøgelund¹,

Philipsen²,

Gniadecki³

2007

Acta Derm Venereol

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The aim of this retrospective survey was to determine recurrence rates after treatment of basal cell carcinomas in a single academic dermatology department. A total of 1016 patients with 1593 histologically verified basal cell carcinomas (n=1212 primary and n=381 relapsing) were included. Tumour localization, T-stage and the method of treatment were significant predictors of the risk of recurrence (forward Cox regression, p <0.001). The relapse rate for primary basal cell carcinomas on the scalp was highest (odds ratio (OR)=2.8, 95% confidence interval (CI) 1.5-5.3). T2 and T3 tumours showed a 2- and 3-fold increased relapse rate, respectively, compared with T1 basal cell carcinomas. Radiotherapy and surgical excision had the lowest relapse rates, whereas curettage and photodynamic therapy resulted in 5-year relapse rates of up to 70%. Patients with chronic skin diseases had a 50% lower risk of relapse than healthy patients (OR=0.5, CI=0.3-0.8). Recurrent basal cell carcinomas had a higher relapse rate than primary lesions (OR=1.8, CI=1.4-2.2). Patients treated in a specialized skin cancer unit had a 6.4-fold (CI=2.4-17.4) higher cure rate compared with those treated by less experienced physicians. Thus, in an uncontrolled, real-life situation curettage or photodynamic therapy are associated with significantly higher relapse risk than excision and radiotherapy and therefore should not be used for high risk primary tumours or recurrent tumours. Treatment in the setting of a specialized skin cancer unit yields a much lower relapse rate.

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Section: Discussionmentioning

confidence: 99%

Factors Affecting the Recurrence Rate of Basal Cell Carcinoma

Bøgelund¹,

Philipsen²,

Gniadecki³

2007

Acta Derm Venereol

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“…The experience of the surgeon also affects cure rates 1,13,21,26,27 and is an independent risk factor for recurrence. 12 Part of the experience necessary to achieve a good cure rate either with curettage alone or C&E is meticulous technique and the ability to recognize a normal dermal base.…”

Section: Discussionmentioning

confidence: 99%

Treatment of basal cell carcinoma with curettage alone

Barlow

Zalla

Kyle

et al. 2006

Journal of the American Academy of Dermatology

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“…Recurrence was higher in nasal, paranasal, and forehead areas (78). Although ED & C appears to have a higher risk for disease recurrence compared with surgical excision, a nonrandomized retrospective chart review suggested that the two treatment modalities are not significantly different (79). If the dermis and the fatty layer is penetrated with ED & C, surgical excision should be performed.Although multiple cycles of ED & C are recommended, there have been reports that single-cycle therapy may reduce the risk of scarri (74).…”

Section: Curettage and Electrodesiccationmentioning

confidence: 99%

An Overview on Basal Cell Carcinoma

Avcı¹

2011

Skin Cancer Overview

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

Cited by 17 publications

References 12 publications

Factors Affecting the Recurrence Rate of Basal Cell Carcinoma

Factors Affecting the Recurrence Rate of Basal Cell Carcinoma

Treatment of basal cell carcinoma with curettage alone

An Overview on Basal Cell Carcinoma

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