[Characteristics and risk factors for recurrence of cutaneous squamous cell carcinoma with conventional surgery and surgery with delayed intraoperative margin assessment]
| Autor: | Sonia Toussaint Caire, Georgina Rodríguez-Gutiérrez, Verónica Fonte Avalos, Verónica Narváez Rosales, Judith Domínguez-Cherit |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Cutaneous squamous cell carcinoma Skin Neoplasms Time Factors Population Conventional surgery Ocean Engineering Metastasis 030207 dermatology & venereal diseases 03 medical and health sciences Young Adult 0302 clinical medicine Risk Factors medicine Humans Basal cell carcinoma Neoplasm Invasiveness education Aged Aged 80 and over education.field_of_study business.industry Wound Closure Techniques Margins of Excision Cheek Middle Aged medicine.disease Surgery stomatognathic diseases medicine.anatomical_structure Epidermoid carcinoma Organ Specificity 030220 oncology & carcinogenesis Carcinoma Squamous Cell Female Skin cancer Facial Neoplasms Neoplasm Recurrence Local business |
| Zdroj: | Cirugia y cirujanos. 85(6) |
| ISSN: | 2444-054X |
| Popis: | Background Non-melanoma skin cancer includes basal cell carcinoma and squamous cell carcinoma (SCC). Basal cell carcinoma is the most common and least aggressive but in a low percentage of cases, despite appropriate wide surgical margins, it can be aggressive, producing local invasion, recurrences and distance metastasis. SCC has a more aggressive behaviour invading first the skin, the lymph nodes and less frequently produces distance metastasis. Objective To identify the characteristics of recurrent SCC and frequency of new SCC after conventional surgical and primary closure or closure delayed until a histological reporting of tumour-free surgical margins, in order to achieve a better surgical option, in our Mexican population. Materials and method We reviewed clinical records from the last 10 years, and included those with a diagnosis of SCC. Results One hundred and fourteen tumours in 103 patients were included. The mean new tumour diagnosis was 32.2 per year; there were 46.6% men and 53.4% women. Age range 19–91, with mean 71.94 years (SD = 13.34). The evolution time was from 1 to 112 months (mean = 12 months, SD = 2.65). The most affected site was the cheek. In addition, an invasive tumour was reported in 54% in the histopathological study. At 10-year follow-up we found a second SCC in 14 patients and only 4 recurrences, between the 1st and 4th year and 3 were treated with delayed closure until margins were tumour-free. Conclusion In this study we demonstrated that delayed closure technique is easy and adaptable in our population in the treatment of SCC, achieving good results with very low recurrences at 10-year follow-up. |
| Databáze: | OpenAIRE |
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