Complete Excision of Nonmelanotic Skin Cancer

Riml, Stefan; Larcher, Lorenz; Kompatscher, Peter

doi:10.1097/sap.0b013e3182223d7b

Cited by 19 publications

(21 citation statements)

References 12 publications

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“…The overall incomplete excision rate was 11.7%, which seems to be relatively comparable to the results of other studies in which the mean overall rates of incomplete excision vary from 2.6% to 27.9% (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24). Nevertheless, direct comparisons may be difficult, since inclusion and exclusion criteria differ between these studies.…”

Section: Discussionsupporting

confidence: 78%

“…Multiple studies have compared the rates of incomplete excision of SCC in different settings, showing varying rates, ranging from 2.6% to 27.9% (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24). Several risk factors for incomplete excision have been identified in previous publications, such as tumour location (12,14,17,19,20,22,23,25), size of the lesion (19,22,26,27), patient sex (18,19), surgeon experience (18,20,24) and physician specialty (13,15). Nevertheless, these studies reveal conflicting results with regards to the importance of different risk factors.…”

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confidence: 99%

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Clinicopathological Factors Associated with Incomplete Excision of Cutaneous Squamous Cell Carcinoma

Svensson

Paoli²

2020

Acta Derm Venereol

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Cutaneous squamous cell carcinoma is one of the most common skin cancers and its incidence is increasing in many parts of the world, including Sweden. The main treat ment is surgical excision with the goal of complete remo val, in order to avoid local recurrence as well as metastatic disease. This study found that the 2 most important risk factors for incomplete excision were: excisions carried out by general practitioners and large tumour size. Therefore, general practitioners need further support in managing pa tients with squamous cell carcinoma, and surgeons should be aware of the difficulties in removing larger tumours. Cutaneous squamous cell carcinoma (SCC) is the second most common type of cancer in Swedish men and women. The incidence of SCC is increasing rapidly. Primary treatment is complete surgical excision with sufficient margins to avoid recurrence and metastasis. The aim of this retrospective study was to identify the clinicopathological factors associated with incomplete excision of SCCs. Clinicopathological data and surgical outcome was obtained for 691 SCCs excised during a 2-year period (2014 to 2015) in Gothenburg, Sweden. Overall, 81 SCCs (11.7%) were incompletely excised. Incomplete excisions were associated with physician specialty and experience, tumour localization in the head and neck region, larger tumour diameter, and lower grade of tumour differentiation. However, multiple regression analysis revealed that large tumour size and excisions carried out by general practitioners were the only factors that significantly negatively affected rates of incomplete excision. These results should be taken into consideration when excising SCCs, in order to avoid multiple excisions.

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Section: Discussionsupporting

confidence: 78%

mentioning

confidence: 99%

Clinicopathological Factors Associated with Incomplete Excision of Cutaneous Squamous Cell Carcinoma

Svensson

Paoli²

2020

Acta Derm Venereol

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“…A significant correlation with tumor size > 20 mm was found in a minority (3) of studies (10,22,29). No significant association was found in most (7) studies (6,11,20,21,23,25,28).…”

Section: Resultsmentioning

confidence: 94%

“…It is thought that complex cases are more likely to be treated in a tertiary hospital than in an office-based setting or at the GP office. In addition, experience naturally also plays a role, which was demonstrated in the study of Riml et al (25).…”

Section: Discussionmentioning

confidence: 90%

Incomplete Excision of Cutaneous Squamous Cell Carcinoma; Systematic Review of the Literature

Genders

Marsidi²,

Michi³

et al. 2020

Acta Derm Venereol

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Treatment of choice for cutaneous squamous cell carcinoma is complete surgical excision. Incomplete excision of cutaneous squamous cell carcinoma has an increased risk of local recurrence, deep subclinical progression and increased risk of metastasis. In this systematic review, incomplete excision rates for cutaneous squamous cell carcinoma ranged from 0.4% to 35.7%. An overall incomplete excision rate of 13% was calculated. Risk factors include location in the head & neck area, tumor depth and size, invasive growth, type of operator and re-excision. These factors should be taken into account in the management of cutaneous squamous cell carcinoma surgical treatment. The treatment of choice for cutaneous squamous cell carcinoma is complete surgical excision. Incomplete excision of cutaneous squamous cell carcinoma has an increased risk of local recurrence, deep subclinical progression, and metastasis. This study aimed to investigate the proportion and risk factors of incomplete excised cutaneous squamous cell carcinoma. A systematic review of the literature was performed. Incomplete excision rates for cutaneous squamous cell carcinoma ranged from 0.4% to 35.7%. The pooled incomplete excision risk estimate was 13% (95% confidence interval 9-17%). Risk factors noted in more than one study for incomplete excision included tumor depth and size, type of operator, head and neck localization, and former incomplete excision. We found an overall incomplete excision rate of 13% for cutaneous squamous cell carcinoma. Risk factors should be taken into account in the management of cutaneous squamous cell carcinoma surgical treatment.

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“…Tumor‐free margins should be obtained surgically. Radical resection is essential even in late presented cases 2 …”

Section: Introductionmentioning

confidence: 99%

Revisiting the Limberg flap for central midface reconstruction in elderly patients

Kirazoglu

Cengiz

Kelahmetoğlu

et al. 2020

Dermatologic Therapy

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To present the use of Limberg flap in the central midface reconstruction as an useful flap in elderly patients. A retrospective review of a total of 13 cases who underwent Limberg flap procedure to reconstruct various sizes of midfacial defects. Etiology, size, location, surgical procedures, outcomes, and complications, final evaluation according to the tumor‐free survival and patient satisfaction in terms of aesthetic appearance were analyzed, the latter was evaluated by visual analog scoring system. The mean follow‐up period was 11.53 months (2‐22 months). The mean age of cases was 68 years (between 49 and 81 years). Average defect size was 7.76 cm2 (between 2.25 and 25 cm2). All operations were performed under local infiltration anesthesia. All patients were discharged on the same day of the operation. All the flaps survived with uneventful wound healing according to the patient satisfaction scores that were reliable and high. No any early or late recurrence was detected. Limberg flap is a safe and rapid option that could be applied in small‐ and medium‐sized cutaneous defects in the central midface reconstruction in elderly patients.

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Complete Excision of Nonmelanotic Skin Cancer

Cited by 19 publications

References 12 publications

Clinicopathological Factors Associated with Incomplete Excision of Cutaneous Squamous Cell Carcinoma

Clinicopathological Factors Associated with Incomplete Excision of Cutaneous Squamous Cell Carcinoma

Incomplete Excision of Cutaneous Squamous Cell Carcinoma; Systematic Review of the Literature

Revisiting the Limberg flap for central midface reconstruction in elderly patients

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