Surgical option for nonmelanoma skin cancer

Pichardo-Velázquez, Patricia; Domínguez‐Cherit, Judith; Vega-Memije, Ma Elisa; Moreno‐Coutiño, Gabriela; Proy, Héctor

doi:10.1111/j.1365-4632.2004.02091.x

Cited by 8 publications

(7 citation statements)

References 15 publications

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“…Pichardo-Velázquez et al 10 have resected 83 high-risk BCCs with transoperative histological control, according to their definition: infiltrative > 5mm, nodular > 10mm, and nose tumors. Persistent tumors were re-excised with additional margins of 3 mm until clearance.…”

Section: Resultsmentioning

confidence: 99%

“…Incomplete excision rates have been reported to range from 1.54% to 28.5%. 10 , 12 - 37 Incomplete excision was more frequent in lateral margins ( Table 2 ). This is consistente with what is widely reported in the literature.…”

Section: Resultsmentioning

confidence: 99%

“…Based on these results, this paper suggests excision with at least 6-mm margins or surgery with margin control for recurrent BCC with indolent growth in low-risk areas and intermediate-risk areas, provided that they are small. 10 , 11 For other large tumors with indolent growth and for all aggressive recurrent BCCs, the authors suggest micrographic surgery, given that the subclinical extension of these lesions is unpredictable ( Figure 2 ).…”

Section: Discussionmentioning

confidence: 99%

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Surgical treatment of basal cell carcinoma: an algorithm based on the literature

Luz

Ferron

Cardoso

2015

An. Bras. Dermatol.

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Although basal cell carcinoma can be effectively managed through surgical excision, the most suitable surgical margins have not yet been fully determined. Furthermore, micrographic surgery is not readily available in many places around the world. A review of the literature regarding the surgical treatment of basal cell carcinoma was conducted in order to develop an algorithm for the surgical treatment of basal cell carcinoma that could help the choice of surgical technique and safety margins, considering the major factors that affect cure rates. Through this review, it was found that surgical margins of 4mm seem to be suitable for small, primary, well-defined basal cell carcinomas, although some good results can be achieved with smaller margins and the use of margin control surgical techniques. For treatment of high-risk and recurrent tumors, margins of 5-6 mm or margin control of the surgical excision is required. Previous treatment, histological subtype, site and size of the lesion should be considered in surgical planning because these factors have been proven to affect cure rates. Thus, considering these factors, the algorithm can be a useful tool, especially for places where micrographic surgery is not widely available.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Surgical treatment of basal cell carcinoma: an algorithm based on the literature

Luz

Ferron

Cardoso

2015

An. Bras. Dermatol.

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“…16 Pichardo-Velazquez et al obtained incomplete excision rate of 28.5%, excising high risk BCCs with surgical margins of 5mm. 21 …”

Section: Discussionmentioning

confidence: 99%

Analysis of effectiveness of a surgical treatment algorithm for basal cell carcinoma

Luz

Ferron

Cardoso

2016

An. Bras. Dermatol.

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BACKGROUNDSurgical excision is the treatment of choice for basal cell carcinoma and micrographic surgery considered the gold standard, however not yet used routinely worldwide available, as in Brazil. Considering this, a previously developed treatment guideline, which the majority of tumors were treated by conventional technique (not micrographic) was tested.OBJECTIVETo establish the recurrence rate of basal cell carcinomas treated according to this guideline.METHODBetween May 2001 and July 2012, 919 basal cell carcinoma lesions in 410 patients were treated according to the proposed guideline. Patients were followed-up and reviewed between September 2013 and February 2014 for clinical, dermatoscopic and histopathologic detection of possible recurrences.RESULTSAfter application of exclusion criteria, 520 lesions were studied, with 88.3% primary and 11.7% recurrent tumors. Histological pattern was indolent in 85.5%, 48.6% were located in high risk areas and 70% small tumors. Only 7.3% were treated by Mohs micrographic surgery. The recurrence rate, in an average follow-up period of 4.37 years, was 1.3% for primary and 1.63% for recurrent tumors. Study limitations: unicenter study, with all patients operated on by the same surgeon.CONCLUSIONThe treatment guideline utilized seems a helpful guide for surgical treatment of basal cell carcinoma, especially if micrographic surgery is not available.

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“…6,7 A map of the affected area is drawn for each lesion, indicating the exact location of the tumor. Afterwards, the tissue is cut into separately numbered pieces, embedded in paraffin, and stained with hematoxylin-eosin.…”

Section: A S a L C E L L C A R C I N O M Amentioning

confidence: 99%

Confocal Examination of Untreated Fresh Specimens From Basal Cell Carcinoma

Gerger¹,

Horn²,

Koller³

et al. 2005

Arch Dermatol

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Surgical option for nonmelanoma skin cancer

Abstract: We recommend this technique for tumors with high-risk of recurrence if Mohs' micrographic surgery is not available.

Cited by 8 publications

References 15 publications

Surgical treatment of basal cell carcinoma: an algorithm based on the literature

Surgical treatment of basal cell carcinoma: an algorithm based on the literature

Analysis of effectiveness of a surgical treatment algorithm for basal cell carcinoma

Confocal Examination of Untreated Fresh Specimens From Basal Cell Carcinoma

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