Tratamento cirúrgico dos carcinomas basocelular e espinocelular: experiência dos Serviços de Cirurgia Plástica do Hospital Ipiranga

Autor:	Carlos Augusto Richter, Ricardo Antonio de Toni, Aymar Edison Sperli, Suk Won Soh, José Octávio Gonçalves de Freitas, Julia Broetto
Rok vydání:	2012
Předmět:	medicine.medical_specialty business.industry Medical record Incidence (epidemiology) Carcinoma basocelular Cancer Carcinoma/cirurgia medicine.disease Dermatology Surgery Plastic surgery Patient age Medicine Basal cell carcinoma Carcinoma de células escamosas Skin cancer Risk factor business
Zdroj:	Revista Brasileira de Cirurgia Plástica v.27 n.4 2012 Revista Brasileira de Cirurgia Plástica Sociedade Brasileira de Cirurgia Plástica (SBCP) instacron:SBCP
ISSN:	1983-5175
Popis:	BACKGROUND: A higher incidence and prevalence of non-melanoma skin cancers has been reported in Brazil. Among them, basal cell carcinoma (BCC) is the most common, accounting for 70%-75% of all cases. Squamous cell carcinoma (SCC) constitutes 20% of non-melanoma skin cancers. The aim of this study was to examine the patients who underwent surgery for the treatment of non-melanoma skin cancer between 2005 and 2010 at the Plastic Surgery Service of Hospital Ipiranga. METHODS: The medical records of the patients who were treated for non-melanoma skin cancer at the surgical center were reviewed and classified according to age, gender, occupation, race, anatomical location, risk factors, number of lesions, and histological subtype. RESULTS: A total of 145 patients were evaluated; 15.9% exhibited multiple lesions, which resulted in a total of 168 tumors. BCC was most commonly detected (87.6% of the tumors), whereas 26.2% of tumors were SCC. Solid or nodular BCC comprised 44.1% of all skin cancers, whereas Broders I SCC accounted for 42.1% of SCC cases. The lesions were present on the face in 80.7% of the patients and on the upper limbs in 12.4%. The average patient age was 69.5 years, and 59.4% of the patients were female. The tumors were more commonly observed in Caucasians, and smoking was the major risk factor recorded in 79.3% of cases. CONCLUSIONS: The patients with cancer in this study tended to have BCC and/or were predominantly female - observations that reflect the current tendency of this tumor. The presence of a significant number of patients with multiple lesions emphasizes the importance of undergoing a periodic examination. Moreover, high smoking rates were observed among these patients.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::098e48e91fee1ee8ccbcb7dd740a937c https://doi.org/10.1590/s1983-51752012000400009 Zobrazit plný text záznamu