| Journal: | Anais brasileiros de dermatologia |
| Database: | PERIÓDICA |
| System number: | 000404082 |
| ISSN: | 0365-0596 |
| Authors: | Luz, Flavio Barbosa1 Ferron, Camila1 Cardoso, Gilberto Perez1 |
| Institutions: | 1Universidade Federal Fluminense, Niteroi, Rio de Janeiro. Brasil |
| Year: | 2016 |
| Season: | Nov-Dic |
| Volumen: | 91 |
| Number: | 6 |
| Pages: | 726-731 |
| Country: | Brasil |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Experimental, aplicado |
| English abstract | Surgical excision is the treatment of choice for basal cell carcinoma and micrographic surgery considered the gold standard, however not yet used routinely worldwide available, as in Brazil. Considering this, a previously developed treatment guideline, which the majority of tumors were treated by conventional technique (not micrographic) was tested. OBJECTIVE: To establish the recurrence rate of basal cell carcinomas treated according to this guideline. METHOD: Between May 2001 and July 2012, 919 basal cell carcinoma lesions in 410 patients were treated according to the proposed guideline. Patients were followed-up and reviewed between September 2013 and February 2014 for clinical, dermatoscopic and histopathologic detection of possible recurrences. RESULTS: After application of exclusion criteria, 520 lesions were studied, with 88.3% primary and 11.7% recurrent tumors. Histological pattern was indolent in 85.5%, 48.6% were located in high risk areas and 70% small tumors. Only 7.3% were treated by Mohs micrographic surgery. The recurrence rate, in an average follow-up period of 4.37 years, was 1.3% for primary and 1.63% for recurrent tumors. Study limitations: unicenter study, with all patients operated on by the same surgeon. CONCLUSION: The treatment guideline utilized seems a helpful guide for surgical treatment of basal cell carcinoma, especially if micrographic surgery is not available |
| Disciplines: | Medicina |
| Keyword: | Cirugía, Dermatología, Oncología, Carcinoma basocelular, Cirugía de Mohs, Recurrencia |
| Keyword: | Medicine, Dermatology, Oncology, Surgery, Basal cell carcinoma, Mohs surgery, Recurrence |
| Full text: | Texto completo (Ver HTML) |
