Surgical management of incompletely excised basal cell carcinomas of the head and neck

Wilson, A.; Howsam, Geoffrey; Santhanam, Vijay; Macpherson, D.W.; Grant, Jerry; Pratt, C.; Townend, John

doi:10.1016/j.bjoms.2004.02.030

Cited by 75 publications

(86 citation statements)

References 7 publications

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“…In Wilson's study, the risk of incomplete excision was higher when the tumors were located in the medial canthus or lower eyelid (risk >10%). 19 In the present study, incomplete excision was most common in the medial canthus region (10.51%). In addition, Pieh et al 20 reported that the risk of subsequent recurrence at most of these sites was about 30%.…”

Section: Discussionmentioning

confidence: 44%

“…Kumar et al 18 conducted a 1-year prospective study and reported that 34 out of 757 cases of BCC (4-5%) had been incompletely excised. In a study conducted by Wilson et al, 19 6.2% of cases of BCC of the head or neck were incompletely excised. In the case of periorbital lesions, the overall rate of incomplete excision was 13% (range 11-17%); 10 however, in the present study positive margins were diagnosed in 18.92%.…”

Section: Discussionmentioning

confidence: 99%

“…23 Wilson et al 19 found residual tumor tissue in 45% of re-excised specimens. These investigators implemented a "wait and see policy" and reported recurrences in 21% of cases.…”

Section: Discussionmentioning

confidence: 99%

“…19 The likelihood of finding residual tumor tissue in periorbital lesions is low, with the exception of the inner canthus. 10 In the present study, recurrences were most common in the medial canthus region (23.68%).…”

Section: Discussionmentioning

confidence: 99%

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Does incomplete excision of basal cell carcinoma of the eyelid mean tumor recurrence?

Jankovic

Kovačević

Visnjic

et al. 2010

An. Bras. Dermatol.

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Introduction: Basal cell carcinoma is the most common tumor of the eyelid. In this region, reconstruction is complex and damage to healthy tissue should be minimal. Objective: To define the relationship between margin clearance at excision and the recurrence rate of basal cell carcinoma of the eyelid. Methods: This prospective study was conducted with 111 patients submitted to surgery for basal cell carcinoma of the eyelid between 2001 and 2003 and followed up for a period of five years. The patients were evaluated according to age, tumor site, recurrence rate and margin clearance at excision. Results: No significant association was found between incomplete tumor excision and recurrence except in patients under 56 years of age, female patients and in the case of tumors of the medial canthus. Conclusion: A risk of recurrence in incompletely excised basal cell carcinomas of the eyelid was only confirmed in younger patients, females and for tumors of the medial canthus. Keywords: Basal cell carcinoma; eyelid; recurrence.Resumo: Introdução: O carcinoma basocelular é o tumor mais comum entre os tumores das pálpebras. Nesta região, a reconstrução é complexa e recomenda-se que haja perda mínima de tecido saudável. Objetivo: Para definir a relação entre margem livre de tumor na excisão e taxa de recidiva do carcinoma basocelular das pálpebras. Métodos: Este estudo prospectivo incluiu 111 pacientes operados para remoção de carcinoma basocelular das pálpebras no período de 2001 a 2003, com acompanhamento subsequente de 5 anos. Os pacientes foram avaliados de acordo com a idade, localização do tumor, taxa de recidiva, e margem livre de tumor na excisão. Resultados: Não se encontrou associação significativa entre a excisão incompleta do tumor e casos de recidiva, exceto em pacientes com idade inferior a 56 anos, pacientes do sexo feminino e em tumores do canto medial. Conclusão: Um risco maior de recidiva de carcinoma basocelular das pálpebras com excisão incompleta foi confirmado estatisticamente apenas em pacientes mais jovens, em mulheres, e nos tumores do canto interno.

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Section: Discussionmentioning

confidence: 44%

Section: Discussionmentioning

confidence: 99%

“…23 Wilson et al 19 found residual tumor tissue in 45% of re-excised specimens. These investigators implemented a "wait and see policy" and reported recurrences in 21% of cases.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Does incomplete excision of basal cell carcinoma of the eyelid mean tumor recurrence?

Jankovic

Kovačević

Visnjic

et al. 2010

An. Bras. Dermatol.

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“…The incidence of BCC is on the rise, and it represents approximately 65% of all skin carcinomas [1–3]. BCC is not usually life threatening, unlike malignant melanoma, but it is locally invasive and may lead to considerable morbidity and complications [4].…”

Section: Introductionmentioning

confidence: 99%

Basal Cell Carcinoma of the Head and Neck Region: A Retrospective Analysis of Completely Excised 331 Cases

Demirseren¹,

Ceran

Aksam

et al. 2014

Journal of Skin Cancer

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The aim of the study is to analyze all completely excised BCCs in the head and neck region with regard to age, sex, personal and familial history, skin type, tumor localization and size, histopathological subtype of tumor, reconstruction method, and recurrence rates. Incompletely excised BCCs were not included in this study since incomplete excision is the most important preventable risk factor for recurrence. In 320 patients, 331 lesions were retrospectively evaluated by dividing into the following 8 subunits: scalp, frontotemporal, orbital, nose, cheek, auricula, perioral, and chin-neck area. Most of the patients were in 60–70 age group (34.7%). The nose (32.3%) was the most common site of presentation. Clinically, all lesions and, histopathologically, most of the lesions (42.2%) presented were of the nodular type. All cases of recurrence after complete excision (n = 9, 2.7%) were located in the median parts of the head and neck region and were mainly diagnosed histopathologically as sclerotic and micronodular. Even though completely excised, head and neck region BCCs, especially which are more prone to recurrence due to anatomical and histopathological properties, should be more closely monitored in order to decrease morbidity and health care costs.

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Non‐Melanoma Skin Cancer and Other Epidermal Skin Tumours

Quinn¹,

Perkins²

2010

Rook's Textbook of Dermatology

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Surgical management of incompletely excised basal cell carcinomas of the head and neck

Cited by 75 publications

References 7 publications

Does incomplete excision of basal cell carcinoma of the eyelid mean tumor recurrence?

Does incomplete excision of basal cell carcinoma of the eyelid mean tumor recurrence?

Basal Cell Carcinoma of the Head and Neck Region: A Retrospective Analysis of Completely Excised 331 Cases

Non‐Melanoma Skin Cancer and Other Epidermal Skin Tumours

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