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[Cutaneous head and neck carcinomas: personal experience]

F Ferrario1, P Boschini

  • 1Divisione di Otorinolaringoiatria, Ospedale di Circolo e Fondazione Macchi, Varese.

Acta Otorhinolaryngologica Italica : Organo Ufficiale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico-Facciale
|June 1, 1995
PubMed
Summary

This study analyzed 399 head and neck nonmelanoma skin cancers, finding basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) most common. Long-term follow-up is crucial for detecting recurrences.

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Area of Science:

  • Dermatology
  • Surgical Oncology
  • Head and Neck Surgery

Context:

  • Nonmelanoma skin cancers (NMSC) of the head and neck represent a significant clinical challenge.
  • Surgical management remains a primary treatment modality for these lesions.
  • Understanding recurrence patterns and risk factors is essential for optimizing patient outcomes.

Purpose:

  • To review a personal surgical series of 399 head and neck NMSC cases treated between 1984 and 1993.
  • To analyze the characteristics, distribution, and recurrence rates of basal cell carcinoma (BCC) and squamous cell carcinoma (SCC).
  • To identify clinical factors associated with a high risk of local recurrence.

Summary:

  • The review included 399 head and neck NMSC, predominantly BCC and SCC, with median ages of 70 and 69 years, respectively.

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  • BCC commonly occurred on the midface, while SCC favored the auricular area and nose.
  • Key factors influencing local recurrence included tumor site, size, histologic differentiation, stage, and prior surgical treatment.

    • Impact:

    • The findings underscore the necessity of long-term patient observation (over 5 years) to detect relapses or new primary skin cancers.
    • Identifying high-risk clinical factors aids in tailoring surveillance and treatment strategies for head and neck NMSC.
    • Results align with existing literature, reinforcing established knowledge in the field of NMSC management.