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Basal cell carcinomata-risk factors for incomplete excision and results of re-excision

Abstract Introduction Re-excising incompletely excised basal cell carcinomas can be unsatisfactory when there is no residual tumour present. Recommended guidelines do suggest re-excision as a treatment modality however its value has been questioned due to low or variable residual tumour presence. We...

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Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2016-05, Vol.69 (5), p.652-656
Main Authors: Masud, D., FRCS (plast), Moustaki, M, Staruch, R, Dheansa, B., FRCS(Plast)
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creator Masud, D., FRCS (plast)
Moustaki, M
Staruch, R
Dheansa, B., FRCS(Plast)
description Abstract Introduction Re-excising incompletely excised basal cell carcinomas can be unsatisfactory when there is no residual tumour present. Recommended guidelines do suggest re-excision as a treatment modality however its value has been questioned due to low or variable residual tumour presence. We analysed our incomplete excisions and re-excision rates, and residual tumour presence over an 18-month period in a single unit. Method 2586 primary excisions of basal cell carcinomas in 1717 patients were audited using pathology results and case notes. Results There was a 7.1% (184/2586) incomplete excision rate. Excising a lesion in a multiple excision lesion procedure was associated with a higher rate of incomplete excision when comparing to a single lesion excision procedure (61.5% v 38.5%). Of the incompletely excised basal cell carcinomas, 33.6% (62/184) had further re-excision and of these, 62.9% (39/62) had residual tumour present. Although the figures are small, most anatomical sites examined had a greater than 50% residual tumour presence. Conclusion After evaluating each patient individually, due to a high residual tumour rate presence re-excising an incompletely excised basal cell carcinoma still would be a worthwhile procedure.
doi_str_mv 10.1016/j.bjps.2015.12.024
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Recommended guidelines do suggest re-excision as a treatment modality however its value has been questioned due to low or variable residual tumour presence. We analysed our incomplete excisions and re-excision rates, and residual tumour presence over an 18-month period in a single unit. Method 2586 primary excisions of basal cell carcinomas in 1717 patients were audited using pathology results and case notes. Results There was a 7.1% (184/2586) incomplete excision rate. Excising a lesion in a multiple excision lesion procedure was associated with a higher rate of incomplete excision when comparing to a single lesion excision procedure (61.5% v 38.5%). Of the incompletely excised basal cell carcinomas, 33.6% (62/184) had further re-excision and of these, 62.9% (39/62) had residual tumour present. Although the figures are small, most anatomical sites examined had a greater than 50% residual tumour presence. Conclusion After evaluating each patient individually, due to a high residual tumour rate presence re-excising an incompletely excised basal cell carcinoma still would be a worthwhile procedure.</description><identifier>ISSN: 1748-6815</identifier><identifier>EISSN: 1878-0539</identifier><identifier>DOI: 10.1016/j.bjps.2015.12.024</identifier><identifier>PMID: 26948998</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Basal cell carcinoma ; Carcinoma, Basal Cell - pathology ; Carcinoma, Basal Cell - surgery ; Humans ; Incomplete excision ; Margins of Excision ; Neoplasm, Residual ; Non melanoma ; Plastic Surgery ; Reoperation - statistics &amp; numerical data ; Retrospective Studies ; Risk Factors ; Skin cancer ; Skin Neoplasms - pathology ; Skin Neoplasms - surgery</subject><ispartof>Journal of plastic, reconstructive &amp; aesthetic surgery, 2016-05, Vol.69 (5), p.652-656</ispartof><rights>2016 British Association of Plastic, Reconstructive and Aesthetic Surgeons</rights><rights>Copyright © 2016 British Association of Plastic, Reconstructive and Aesthetic Surgeons. 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Recommended guidelines do suggest re-excision as a treatment modality however its value has been questioned due to low or variable residual tumour presence. We analysed our incomplete excisions and re-excision rates, and residual tumour presence over an 18-month period in a single unit. Method 2586 primary excisions of basal cell carcinomas in 1717 patients were audited using pathology results and case notes. Results There was a 7.1% (184/2586) incomplete excision rate. Excising a lesion in a multiple excision lesion procedure was associated with a higher rate of incomplete excision when comparing to a single lesion excision procedure (61.5% v 38.5%). Of the incompletely excised basal cell carcinomas, 33.6% (62/184) had further re-excision and of these, 62.9% (39/62) had residual tumour present. Although the figures are small, most anatomical sites examined had a greater than 50% residual tumour presence. 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Recommended guidelines do suggest re-excision as a treatment modality however its value has been questioned due to low or variable residual tumour presence. We analysed our incomplete excisions and re-excision rates, and residual tumour presence over an 18-month period in a single unit. Method 2586 primary excisions of basal cell carcinomas in 1717 patients were audited using pathology results and case notes. Results There was a 7.1% (184/2586) incomplete excision rate. Excising a lesion in a multiple excision lesion procedure was associated with a higher rate of incomplete excision when comparing to a single lesion excision procedure (61.5% v 38.5%). Of the incompletely excised basal cell carcinomas, 33.6% (62/184) had further re-excision and of these, 62.9% (39/62) had residual tumour present. Although the figures are small, most anatomical sites examined had a greater than 50% residual tumour presence. 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subjects Basal cell carcinoma
Carcinoma, Basal Cell - pathology
Carcinoma, Basal Cell - surgery
Humans
Incomplete excision
Margins of Excision
Neoplasm, Residual
Non melanoma
Plastic Surgery
Reoperation - statistics & numerical data
Retrospective Studies
Risk Factors
Skin cancer
Skin Neoplasms - pathology
Skin Neoplasms - surgery
title Basal cell carcinomata-risk factors for incomplete excision and results of re-excision
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