Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/243544
Type: Artigo de periódico
Title: The Importance Of Superficial Basal Cell Carcinoma In A Retrospective Study Of 139 Patients Who Underwent Mohs Micrographic Surgery In A Brazilian University Hospital
Author: Pontes
Luciana Takata; Stelini
Rafael Fantelli; Cintra
Maria Leticia; Magalhaes
Renata Ferreira; Velho
Paulo Eduardo N. F.; Moraes
Aparecida Machado
Abstract: OBJECTIVE: Mohs micrographic surgery is a specialized surgical procedure used to treat skin cancer. The purpose of this study was to better understand the profile of the patients who underwent the procedure and to determine how histology might be related to complications and the number of stages required for complete removal. METHODS: The records of patients who underwent Mohs micrographic surgery from October 2008 to November 2013 at the Dermatology Division of the Hospital of the Campinas University were assessed. The variables included were gender, age, anatomical location, histology, number of stages required and complications. RESULTS: Contingency tables were used to compare the number of stages with the histological diagnosis. The analysis showed that patients with superficial basal cell carcinoma were 9.03 times more likely to require more than one stage. A comparison between complications and histological diagnosis showed that patients with superficial basal cell carcinoma were 6.5 times more likely to experience complications. CONCLUSION: Although superficial basal cell carcinoma is typically thought to represent a less-aggressive variant of these tumors, its propensity for demonstrating "skip areas'' and clinically indistinct borders make it a challenge to treat. Its particular nature may result in the higher number of surgery stages required, which may, as a consequence, result in more complications, including recurrence. Recurrence likely occurs due to the inadequate excision of the tumors despite their clear margins. Further research on this subtype of basal cell carcinoma is needed to optimize treatments and decrease morbidity.
Subject: Imiquimod 5-percent Cream
Aminolevulinate Photodynamic Therapy
Randomized Controlled-trial
5-year Follow-up
Surgical Excision
Modalities
Number
Country: SAO PAULO
Editor: HOSPITAL CLINICAS, UNIV SAO PAULO
Citation: The Importance Of Superficial Basal Cell Carcinoma In A Retrospective Study Of 139 Patients Who Underwent Mohs Micrographic Surgery In A Brazilian University Hospital. Hospital Clinicas, Univ Sao Paulo, v. 70, p. 721-725 2015.
Rights: fechado
Identifier DOI: 10.6061/clinics/2015(11)01
Address: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4642494/?report=classic
Date Issue: 2015
Appears in Collections:Unicamp - Artigos e Outros Documentos

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