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Surgical results in 477 basal cell carcinomas
Scandinavian Journal of Plastic and Reconstructive Surgery
|January 1, 1982
Summary
This study on basal cell carcinomas found that surgical excision with adequate margins resulted in a low recurrence rate of 2%. Most head and neck tumors were successfully treated with primary closure or skin grafts.
Area of Science:
- Dermatology
- Surgical Oncology
Background:
- Basal cell carcinoma (BCC) is the most common type of skin cancer.
- Head and neck region is the most frequent site for BCC.
- Effective surgical management is crucial for optimal patient outcomes.
Purpose of the Study:
- To evaluate the outcomes of surgical excision for basal cell carcinomas.
- To assess recurrence rates and complications associated with BCC treatment.
Main Methods:
- Retrospective review of 406 patient records with BCC.
- Analysis of tumor location, excision margins, and reconstruction methods.
- Assessment of re-excision rates and tumor recurrence.
Main Results:
- 79% of BCCs were located in the head and neck area.
- All tumors excised with at least 3 mm macroscopic margin.
- Primary closure (74%) was the most common reconstruction method.
- 4% of patients required re-excision for inadequate margins.
- Tumor recurrence observed in 2% of patients.
Conclusions:
- Surgical excision with adequate margins is an effective treatment for basal cell carcinoma.
- Low recurrence rates suggest successful management of BCC with current surgical techniques.
- Head and neck BCC management requires careful consideration of reconstruction options.