Characterizing basal cell carcinoma in Hispanic individuals undergoing Mohs micrographic surgery: a 7-year retrospective review at an academic institution in the Bronx

Soliman, Yssra; Mieczkowska, Karolina; Zhu, Tian Ran; Hossain, Onjona; Zhu, Tian Hao; Ciocon, David H.; Williams, Ramone F.

doi:10.1111/bjd.21614

Cited by 3 publications

(43 citation statements)

References 7 publications

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“…Data reported by Soliman et al. demonstrated Hispanic patients underwent 1.71 MMS stages vs. 1.60 MMS stages in non‐Hispanic white patients ( P = 0.1) and Loh et al 14,15 . demonstrated Hispanic patients underwent 2.19 MMS stages vs. 2.18 in non‐Hispanic white patients ( P = 0.977).…”

Section: Resultsmentioning

confidence: 94%

“…Additional tumor subtypes were basosquamous carcinoma 11/2,955 (0.4%) and “other” for 22/2,955 (0.7%) tumors. Notably, a higher rate of pigmented BCC was found in Hispanic patients compared to non‐Hispanic white patients, 27.9% vs. 2.4% 14,15 …”

Section: Resultsmentioning

confidence: 96%

“…Gender data for Hispanic patients undergoing MMS for NMSC were not available for one study 13 . Mean age of Hispanic patients ranged from 62.1 to 71 years old 14–16 . Patient immunosuppression status was reported in one study, with 263 of 861 (30%) of Hispanic patients described as immunocompromised 16 …”

Section: Resultsmentioning

confidence: 99%

“…Four of six articles reviewed provided data on the location of MMS, including three that stratified location based on high‐, medium‐, and low‐risk tumor locations, according to the Appropriate Use Criteria (AUC) for Mohs micrographic surgery and the 2013 National Comprehensive Cancer Network (NCCN) Guidelines 14–19 . A total of 641/1,377 (64.3%) NMSCs in Hispanic patients were in high‐risk locations, 293 (25.6%) were in medium‐risk locations, and 102 (10.1%) were in low‐risk locations.…”

Section: Resultsmentioning

confidence: 99%

“…Data for preoperative and postoperative size were reported in three studies 13–15 . Data from two articles demonstrated similar preoperative size and postoperative size, including greatest length and width, between Hispanic and non‐Hispanic white patients 14,15 .…”

Section: Resultsmentioning

confidence: 99%

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Characteristics of Hispanic patients with nonmelanoma skin cancer undergoing Mohs micrographic surgery: a review of the literature

Camacho,

Biro,

Stevenson

et al. 2023

Int J Dermatology

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BackgroundNonmelanoma skin cancer (NMSC) is the most common cancer worldwide and is frequently treated with Mohs micrographic surgery (MMS); however, data regarding characteristics of Hispanic patients undergoing MMS for NMSC are limited.ObjectiveTo review the characteristics of Hispanic patients undergoing MMS for NMSC in the United States.MethodsA systematic review of PubMed articles from inception through September 2022 providing data for Hispanic patients undergoing MMS for NMSC was completed.ResultsOverall, six publications met inclusion criteria and provided data for 2,856 Hispanic patients that underwent MMS for 2,955 NMSCs. Results demonstrate 60% of Hispanic patients were male, and the majority of NMSCs were basal cell carcinoma (BCC) (71%), followed by squamous cell carcinoma (SCC) (21%). Additionally, a larger percentage of pigmented BCC was found in the Hispanic population. While there is conflicting data in the literature, Hispanic patients may also have larger MMS defects when controlled for additional variables. Finally, over 64% of NMSCs in Hispanic patients were in high‐risk locations.ConclusionLiterature regarding the characteristics of Hispanic patients undergoing MMS for NMSC demonstrates most patients were male, BCC was the most common tumor subtype, and the majority of NMSCs were in high‐risk locations.

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Section: Resultsmentioning

confidence: 94%

Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Characteristics of Hispanic patients with nonmelanoma skin cancer undergoing Mohs micrographic surgery: a review of the literature

Camacho,

Biro,

Stevenson

et al. 2023

Int J Dermatology

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Clinicopathologic comparison of basal cell carcinoma among a diverse patient population in Los Angeles County

Choi,

Oberg,

Hijazi

et al. 2024

Skin Health and Disease

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IntroductionBasal cell carcinoma (BCC) is the most common malignancy in the United States. The majority of cases are identified in Non‐Hispanic Whites (NHW) and are far less demonstrated in patients of colour (POC). However, the Hispanic population represents a large and growing proportion of the US population, and skin cancer diagnoses in Hispanics are rising. Thus, the goal of this study is to examine clinicopathologic differences between BCC in Hispanics versus NHW.MethodsA retrospective chart review of Hispanic and NHW patients with BCC at Los Angeles County + USC Medical Center from January 2018 to March 2020 was performed. In total, 101 BCC samples from the first 100 patients identified of Hispanic ancestry, as well as 50 BCC samples identified from the first 50 patients identifying as NHW, were included for analysis. Patient characteristics (age, sex, medical history, and ethnicity), as well as tumour characteristics (location, subtype, tumour depth, and perineural invasion), were collected. We used between subjects t‐tests for continuous variables, and chi‐square tests for categorical variables.ResultsIn total, 151 specimens were collected amongst 122 subjects (79 Hispanics and 43 NHW patients). Among NHW, the majority of patients (74.4%) were men, but among the Hispanic population, the majority (68.4%) were female (p < 0.001). Prior history of other skin cancer was more common among NHW (67.4%) than Hispanics (31.6%) (p=<0.001). The Hispanic population had a significantly higher proportion of head and neck tumours (p = 0.0004) but a lower proportion of extremity tumours (p = 0.001) compared to NHW. Pigmented BCC was significantly more common among Hispanic patients (p < 0.01). Finally, within the Hispanic group, there was a significant association between sex and histology (p = 0.004), with Hispanic men demonstrating more aggressive mix histology compared to Hispanic women.DiscussionOur study supports the notion that BCC disparities occur among POC compared to NHW. This includes variations in epidemiologic factors such as sex and past medical history, primary tumour location, and pathologic characteristics. Further research should be conducted to identify additional differences in skin cancer presentation in POC to reduce the gaps in skin cancer knowledge and care.

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Characterizing cutaneous malignancies in patients with skin of color treated with Mohs micrographic surgery

Juárez

Criscito

Pulavarty

et al. 2023

Journal of the American Academy of Dermatology

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Characterizing basal cell carcinoma in Hispanic individuals undergoing Mohs micrographic surgery: a 7-year retrospective review at an academic institution in the Bronx

Cited by 3 publications

References 7 publications

Characteristics of Hispanic patients with nonmelanoma skin cancer undergoing Mohs micrographic surgery: a review of the literature

Characteristics of Hispanic patients with nonmelanoma skin cancer undergoing Mohs micrographic surgery: a review of the literature

Clinicopathologic comparison of basal cell carcinoma among a diverse patient population in Los Angeles County

Characterizing cutaneous malignancies in patients with skin of color treated with Mohs micrographic surgery

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