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Related Experiment Videos

Skin malignancy and the reconstructive plastic surgeon.

R W Griffiths1

  • 1Northern General Hospital, Sheffield.

Annals of the Royal College of Surgeons of England
|May 1, 1989
PubMed
Summary
This summary is machine-generated.

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Plastic surgeons manage significant skin malignancy, including basal cell carcinoma and melanoma. Recurrent skin cancers and advanced melanomas present challenges, with tumor thickness impacting prognosis.

Area of Science:

  • Dermatology
  • Surgical Oncology

Background:

  • Skin malignancies constitute a substantial portion of plastic surgery cases.
  • Basal cell carcinoma is the most common skin tumor, often affecting elderly patients and managed with outpatient surgery.
  • Recurrent basal cell carcinoma presents management difficulties, necessitating advanced reconstructive techniques like skin flaps for exposed vital structures or irradiated tissue.

Purpose of the Study:

  • To review the challenges and management strategies for common skin malignancies encountered in plastic surgery.
  • To highlight the prognostic significance of tumor thickness in malignant melanoma.
  • To discuss the implications of recurrence and metastasis in skin cancers like squamous cell carcinoma.

Main Methods:

  • Review of clinical presentations and treatment outcomes for skin malignancies.

Related Experiment Videos

  • Analysis of surgical repair techniques, including direct closure, skin grafts, and skin flaps.
  • Evaluation of prognostic factors in malignant melanoma, emphasizing tumor thickness.

    • Main Results:

    • Basal cell carcinoma management, especially recurrent cases, requires careful consideration of reconstructive options.
    • Squamous cell carcinoma of the lip, ear, and hand can metastasize to lymph nodes even after apparent clearance.
    • Malignant melanoma frequently presents at advanced stages, with tumor thickness being a critical prognostic indicator.

    Conclusions:

    • Effective management of skin malignancies requires tailored surgical approaches based on tumor type, location, and recurrence status.
    • Avoiding incisional biopsy is crucial for accurate histological staging of melanomas.
    • Narrow margin excision for invasive cutaneous melanomas shows promising results, potentially becoming a standard practice.