Non-melanoma skin cancer: an analysis of compromised margins in excisions
Introduction: Non-melanoma skin cancer is the most frequent neoplasm in Brazil, with an estimated 176,930 new cases during the 2020-2022 period, with basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) as the most common subtypes. Surgical treatment of the lesions is effective, with a recur...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Plástica
2023-05-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/3261/666%20en.pdf |
| _version_ | 1797417952874594304 |
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| author | Caroline Pagung Emanuele de Santiago Jessica Nobre Andrade Lucas Pissolato Cipriano Ferreira da Silva Rodolfo Luís Korte |
| author_facet | Caroline Pagung Emanuele de Santiago Jessica Nobre Andrade Lucas Pissolato Cipriano Ferreira da Silva Rodolfo Luís Korte |
| author_sort | Caroline Pagung |
| collection | DOAJ |
| description | Introduction: Non-melanoma skin cancer is the most frequent neoplasm in Brazil, with an estimated 176,930 new cases during the 2020-2022 period, with basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) as the most common subtypes. Surgical treatment of the lesions is effective, with a recurrence rate varying between 3 and 23%, with compromised margins being an important prognostic factor for this recurrence, increasing the importance of complete excision of the tumor.
Method: To prepare this work, 1127 lesions treated at the Hospital de Amor Amazônia were analyzed, seeking to quantify cases and analyze surgically compromised margins through a retrospective analytical descriptive study. For this, histopathological reports of the operated patients were reviewed, dividing them according to sex, age, lesion topography, date of excision, lesion diameter, lesion depth, presence of ulceration, compromised margins, and histological type.
Results: Among the lesions treated, 65% were BCC and 35% SCC, both histological types presenting a low incidence of compromised margins. In cases of CPB impairment, treatment via exeresis was chosen in 100% of cases. Concerning BCC impairment, the majority opted for clinical follow-up, with reapproach in only 9% of cases.
Conclusion: This study demonstrates that the cases treated at the Hospital de Amor Amazônia align with the epidemiological data in the main literature, except for finding a higher incidence of non-melanoma skin cancer in men. Furthermore, |
| first_indexed | 2024-03-09T06:26:59Z |
| format | Article |
| id | doaj.art-85ccbe46bf7a4cb6b194371be86af6b7 |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T06:26:59Z |
| publishDate | 2023-05-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-85ccbe46bf7a4cb6b194371be86af6b72023-12-03T11:18:40ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352023-05-013801010510.5935/2177-1235.2023RBCP0666-ENNon-melanoma skin cancer: an analysis of compromised margins in excisionsCaroline Pagung0Emanuele de Santiago1Jessica Nobre Andrade2Lucas Pissolato3Cipriano Ferreira da Silva4Rodolfo Luís Korte5Universidade Federal de Rondônia, Medicina, Porto Velho, Rondônia, BrazilUniversidade Federal de Rondônia, Medicina, Porto Velho, Rondônia, BrazilUniversidade Federal de Rondônia, Medicina, Porto Velho, Rondônia, BrazilUniversidade Federal de Rondônia, Medicina, Porto Velho, Rondônia, BrazilUniversidade Federal de Rondônia, Medicina, Porto Velho, Rondônia, BrazilUniversidade Federal de Rondônia, Medicina, Porto Velho, Rondônia, BrazilIntroduction: Non-melanoma skin cancer is the most frequent neoplasm in Brazil, with an estimated 176,930 new cases during the 2020-2022 period, with basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) as the most common subtypes. Surgical treatment of the lesions is effective, with a recurrence rate varying between 3 and 23%, with compromised margins being an important prognostic factor for this recurrence, increasing the importance of complete excision of the tumor. Method: To prepare this work, 1127 lesions treated at the Hospital de Amor Amazônia were analyzed, seeking to quantify cases and analyze surgically compromised margins through a retrospective analytical descriptive study. For this, histopathological reports of the operated patients were reviewed, dividing them according to sex, age, lesion topography, date of excision, lesion diameter, lesion depth, presence of ulceration, compromised margins, and histological type. Results: Among the lesions treated, 65% were BCC and 35% SCC, both histological types presenting a low incidence of compromised margins. In cases of CPB impairment, treatment via exeresis was chosen in 100% of cases. Concerning BCC impairment, the majority opted for clinical follow-up, with reapproach in only 9% of cases. Conclusion: This study demonstrates that the cases treated at the Hospital de Amor Amazônia align with the epidemiological data in the main literature, except for finding a higher incidence of non-melanoma skin cancer in men. Furthermore,http://www.rbcp.org.br/export-pdf/3261/666%20en.pdfskin neoplasmscarcinoma, basal cellcarcinoma, squamous cellmargins of excisionreoperation |
| spellingShingle | Caroline Pagung Emanuele de Santiago Jessica Nobre Andrade Lucas Pissolato Cipriano Ferreira da Silva Rodolfo Luís Korte Non-melanoma skin cancer: an analysis of compromised margins in excisions Revista Brasileira de Cirurgia Plástica skin neoplasms carcinoma, basal cell carcinoma, squamous cell margins of excision reoperation |
| title | Non-melanoma skin cancer: an analysis of compromised margins in excisions |
| title_full | Non-melanoma skin cancer: an analysis of compromised margins in excisions |
| title_fullStr | Non-melanoma skin cancer: an analysis of compromised margins in excisions |
| title_full_unstemmed | Non-melanoma skin cancer: an analysis of compromised margins in excisions |
| title_short | Non-melanoma skin cancer: an analysis of compromised margins in excisions |
| title_sort | non melanoma skin cancer an analysis of compromised margins in excisions |
| topic | skin neoplasms carcinoma, basal cell carcinoma, squamous cell margins of excision reoperation |
| url | http://www.rbcp.org.br/export-pdf/3261/666%20en.pdf |
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