Surgical treatment of basal cell carcinoma: an algorithm based on the literature
| Autor: | Gilberto Perez Cardoso, Camila Ferron, Flávio Barbosa Luz |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Skin Neoplasms Dermatologic Surgical Procedures Review Dermatology Micrographic surgery Surgical planning Risk Assessment Carcinoma medicine Humans Basal cell Basal cell carcinoma Surgical treatment Margin business.industry Ambulatory surgical procedures Ambulatory Surgical Procedure medicine.disease Surgery Tumor Burden RL1-803 Carcinoma basal cell Surgical excision Female Neoplasm Recurrence Local business Algorithm Algorithms |
| Zdroj: | Anais Brasileiros de Dermatologia, Vol 90, Iss 3, Pp 377-383 (2015) Anais Brasileiros de Dermatologia, Volume: 90, Issue: 3, Pages: 377-383, Published: JUN 2015 Anais Brasileiros de Dermatologia v.90 n.3 2015 Anais brasileiros de dermatologia Sociedade Brasileira de Dermatologia (SBD) instacron:SBD Anais Brasileiros de Dermatologia |
| ISSN: | 0365-0596 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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