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Related Concept Videos

Skin Cancer01:30

Skin Cancer

Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...

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Related Experiment Video

Updated: Jun 1, 2026

Combining Reflectance Confocal Microscopy with Optical Coherence Tomography for Noninvasive Diagnosis of Skin Cancers via Image Acquisition
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Stretch test: effectiveness in identifying basal cell carcinoma borders.

Avshalom Shalom1, Melvyn Westreich, Ophir Schein

  • 1Department of Plastic Surgery, Assaf Harofeh Medical Center, Zerifin, Israel. fredricag@asaf.health.gov.il

Annals of Plastic Surgery
|June 2, 2011
PubMed
Summary

The new "stretch test" significantly reduces incomplete excisions of basal cell carcinoma (BCC), the most common skin cancer. This method improves patient outcomes and lowers healthcare costs by minimizing the need for repeat surgeries.

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Area of Science:

  • Dermatology
  • Surgical Oncology
  • Plastic Surgery

Background:

  • Basal cell carcinoma (BCC) is the most prevalent malignant neoplasm globally.
  • Complete tumor ablation is the established standard for BCC treatment.
  • Incomplete excision of BCC necessitates reoperation, impacting patient recovery and healthcare expenditure.

Purpose of the Study:

  • To assess the efficacy of a novel clinical technique, termed the "stretch test," in mitigating incomplete excision rates for BCC.
  • To determine if the "stretch test" improves surgical outcomes for basal cell carcinoma patients.

Main Methods:

  • A retrospective analysis of BCC excisions performed by a single plastic surgeon from October 2001 to June 2007.
  • A control group underwent traditional excision methods until September 2004.
  • The study group utilized the "stretch test" maneuver for BCC excision from October 2004 onwards.

Main Results:

  • The overall incomplete excision rate was 3.7% (22/596).
  • Pre-intervention, the incomplete excision rate was 6.4% (16/249).
  • Post-intervention with the "stretch test," the rate significantly decreased to 1.7% (6/347) (P < 0.05).

Conclusions:

  • The "stretch test" significantly reduces the incidence of incomplete basal cell carcinoma excision.
  • Implementation of the "stretch test" leads to fewer re-excisions, enhancing patient recovery and satisfaction.
  • This technique offers potential benefits in reducing overall healthcare costs associated with BCC treatment.