| Revista: | Anais brasileiros de dermatologia |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000460690 |
| ISSN: | 0365-0596 |
| Autores: | Buffo, Thais Helena1 Stelini, Rafael Fantelli1 Serrano, Juliana Yumi Massuda1 Pontes, Luciana Takata1 Magalhães, Renata Ferreira1 Moraes, Aparecida Machado de1 |
| Instituciones: | 1Universidade Estadual de Campinas, Faculdade de Ciencias Medicas, Campinas, Sao Paulo. Brasil |
| Año: | 2023 |
| Periodo: | Ene-Feb |
| Volumen: | 98 |
| Número: | 1 |
| Paginación: | 36-46 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Analítico, descriptivo |
| Resumen en inglés | Background Mohs micrographic surgery is an established technique in the treatment of cutaneous neoplasms. It offers higher cure rates and the main indications are non-melanoma malignant skin tumors. Few studies have been performed on the treatment of rare tumors through this technique. Objective To study rare skin tumors and rare variants of basal cell carcinoma and squamous cell carcinoma submitted to Mohs micrographic surgery in a tertiary service in relation to frequency, disease-free evolution, and applicability of this surgical procedure for this group of tumors. Methods This was a retrospective observational study including rare skin tumors and less common variants of basal cell carcinoma and squamous cell carcinoma treated using Mohs micrographic surgery, between October 2008 and April 2021. Results During the study period, 437 tumors were treated using Mohs micrographic surgery, and 22 (5%) rare skin tumors were selected. The tumors comprised three dermatofibrosarcomas protuberans, two atypical fibroxanthomas, two spiradenomas, two hypercellular fibrohistiocytomas, one primary cutaneous adenocarcinoma, one trichoblastoma, one porocarcinoma, one chondroid syringoma, one cutaneous angiosarcoma, one Merkel cell carcinoma, and one sebaceous carcinoma. Six other cases of rare basal cell carcinoma variants with trichoepitheliomatous differentiation, metatypical basal cell carcinoma, and clear cell squamous cell carcinoma were included. There were no cases of recurrence after an average of six years of follow-up. Study limitations This is a retrospective study on rare neoplasms carried out in a single referral center, and this surgical technique isn’t widely available in the public service. Conclusion This retrospective case series showed that Mohs micrographic surgery is an appropriate treatment for rare skin tumors. They corresponded to 5% of the tumors treated by the technique during a 12-year-period, with no recurrences identified |
| Disciplinas: | Medicina |
| Palabras clave: | Dermatología, Oncología, Cirugía, Neoplasias cutáneas, Acrospiroma, Adenocarcinoma, Carcinoma de células de Merkel, Dermatofibrosarcoma, Cirugía de Mohs |
| Keyword: | Dermatology, Oncology, Surgery, Acrospiroma, Adenocarcinoma, Merkel cells carcinoma, Dermatofibrosarcoma, Mohs surgery, Skin neoplasms |
| Texto completo: | Texto completo (Ver HTML) Texto completo (Ver PDF) |
