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Erschienen in: European Journal of Plastic Surgery 5/2003

01.09.2003 | Original Paper

Evaluation of effectiveness of surgical treatment and histopathological characteristics of basal cell carcinoma in Turkish patients

verfasst von: U. Koçer, H. M. Aksoy, Y. O. Tiftikcioglu, H. Çöloğlu, B. Aksoy, M. G. Ulusoy, M. Astarcı

Erschienen in: European Journal of Plastic Surgery | Ausgabe 5/2003

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Abstract

Basal cell carcinoma (BCC) is the most common cancer in the white population. This study was undertaken to evaluate the effectiveness of surgical treatment and to define histological features of BCC in Turkish patients. We prospectively studied 50 patients with 57 BCCs treated surgically. The majority of the tumors occurred on the head and neck, most commonly on the nose and the cheek. The excision margin ranged between 2 and 20 mm depending on the size, anatomical location, and clinical appearance of the tumor, and 3 mm margin (35.1%) was the most common excision margin used. Defects following excision were generally closed by local flaps (57.9%). The rate of incomplete excision was 7%. The nodular type (71.9%) was the most frequent histological type. Surgical treatment is an effective and safe method for treating BCC, and histological subtypes of BCC must be recognized and reported by pathologists.
Literatur
1.
Zurück zum Zitat Chiller K (2000) Efficacy of curettage before excision in clearing surgical margins of nonmelanoma skin cancer. Arch Dermatol 136:1327–1332PubMed Chiller K (2000) Efficacy of curettage before excision in clearing surgical margins of nonmelanoma skin cancer. Arch Dermatol 136:1327–1332PubMed
2.
Zurück zum Zitat Cho S (1999) Clinical and histopathological characteristics of basal cell carcinoma in Korean patients. J Dermatol 26:494–501PubMed Cho S (1999) Clinical and histopathological characteristics of basal cell carcinoma in Korean patients. J Dermatol 26:494–501PubMed
3.
Zurück zum Zitat Fleischer AB Jr (2001) The speciality of the treating physician affects the likelihood of tumor-free resection margins for basal cell carcinoma: results from a multi-institutional retrospective study. J Am Acad Dermatol 44:224–230CrossRefPubMed Fleischer AB Jr (2001) The speciality of the treating physician affects the likelihood of tumor-free resection margins for basal cell carcinoma: results from a multi-institutional retrospective study. J Am Acad Dermatol 44:224–230CrossRefPubMed
4.
Zurück zum Zitat Glass LF (1997) Intralesional bleomycin-mediated electrochemotherapy in 20 patients with basal cell carcinoma. J Am Acad Dermatol 37:566–569 Glass LF (1997) Intralesional bleomycin-mediated electrochemotherapy in 20 patients with basal cell carcinoma. J Am Acad Dermatol 37:566–569
5.
Zurück zum Zitat Goldberg DP (1997) Assesment and surgical treatment of basal cell skin cancer. Clin Plast Surg 24:673–686PubMed Goldberg DP (1997) Assesment and surgical treatment of basal cell skin cancer. Clin Plast Surg 24:673–686PubMed
6.
Zurück zum Zitat Hallock GG (2001) A prospective study of the accuracy of the surgeon's diagnosis and significance of positive margins in nonmelanoma skin cancers. Plast Reconstr Surg 107:942–947PubMed Hallock GG (2001) A prospective study of the accuracy of the surgeon's diagnosis and significance of positive margins in nonmelanoma skin cancers. Plast Reconstr Surg 107:942–947PubMed
7.
Zurück zum Zitat Hendrix JD Jr (1996) Micronodular basal cell carcinoma. A deceptive histologic subtype with frequent clinically undetected tumor extension. Arch Dermatol 132:295–298PubMed Hendrix JD Jr (1996) Micronodular basal cell carcinoma. A deceptive histologic subtype with frequent clinically undetected tumor extension. Arch Dermatol 132:295–298PubMed
8.
Zurück zum Zitat Hochman M (1999) Skin cancer of the head and neck. Med Clin North Am 83:261–282PubMed Hochman M (1999) Skin cancer of the head and neck. Med Clin North Am 83:261–282PubMed
9.
Zurück zum Zitat Jackson IT (1997) Local flap reconstruction of defects after excision of nonmelanoma skin cancer. Clin Plast Surg 24:747–767PubMed Jackson IT (1997) Local flap reconstruction of defects after excision of nonmelanoma skin cancer. Clin Plast Surg 24:747–767PubMed
10.
Zurück zum Zitat Lalloo MT (2000) Head and neck basal cell carcinoma: treatment using a 2-mm clinical excision margin. Clin Otolaryngol 25:370–373CrossRefPubMed Lalloo MT (2000) Head and neck basal cell carcinoma: treatment using a 2-mm clinical excision margin. Clin Otolaryngol 25:370–373CrossRefPubMed
11.
Zurück zum Zitat Landthaler M (1995) Laser therapy of skin tumors. Recent Results Cancer Res 139:417–421PubMed Landthaler M (1995) Laser therapy of skin tumors. Recent Results Cancer Res 139:417–421PubMed
12.
Zurück zum Zitat Lang PG (1991) Basal cell carcinoma. In Friedman RJ (eds) Cancer of the skin. Saunders, Philadelphia, pp 35–73 Lang PG (1991) Basal cell carcinoma. In Friedman RJ (eds) Cancer of the skin. Saunders, Philadelphia, pp 35–73
13.
Zurück zum Zitat Luce EA (1995) Oncologic considerations in nonmelanotic skin cancer. Clin Plast Surg 22:39–50PubMed Luce EA (1995) Oncologic considerations in nonmelanotic skin cancer. Clin Plast Surg 22:39–50PubMed
14.
Zurück zum Zitat Milroy CJ (1999) Reporting basal cell carcinoma: a survey of the attitudes of histopathologists. J Clin Pathol 52:867–869 Milroy CJ (1999) Reporting basal cell carcinoma: a survey of the attitudes of histopathologists. J Clin Pathol 52:867–869
16.
Zurück zum Zitat Robinson JK (2000) Recurrent basal cell carcinoma after incomplete resection. Arch Dermatol 136:1318–1324PubMed Robinson JK (2000) Recurrent basal cell carcinoma after incomplete resection. Arch Dermatol 136:1318–1324PubMed
17.
Zurück zum Zitat Sarma DP (1984) Observations on the inadequately excised basal cell carcinomas. J Surg Oncol 25:79–80PubMed Sarma DP (1984) Observations on the inadequately excised basal cell carcinomas. J Surg Oncol 25:79–80PubMed
18.
Zurück zum Zitat Schliephake H (1994) Reconstruction of facial soft tissues after resection of skin tumors. J Craniomaxillofac Surg 22:342–348PubMed Schliephake H (1994) Reconstruction of facial soft tissues after resection of skin tumors. J Craniomaxillofac Surg 22:342–348PubMed
19.
Zurück zum Zitat Schneider GL (1997) New trends in skin tumor surgery. Int Surg 82:339–349PubMed Schneider GL (1997) New trends in skin tumor surgery. Int Surg 82:339–349PubMed
20.
Zurück zum Zitat Sexton M (1990) Histologic pattern analysis of basal cell carcinoma. Study of a series of 1039 consecutive neoplasms. J Am Acad Dermatol 23:1118–1126PubMed Sexton M (1990) Histologic pattern analysis of basal cell carcinoma. Study of a series of 1039 consecutive neoplasms. J Am Acad Dermatol 23:1118–1126PubMed
21.
Zurück zum Zitat Sloane JP (1977) The value of typing basal cell carcinomas in predicting recurrence after surgical excision. Br J Dermatol 96:127–132PubMed Sloane JP (1977) The value of typing basal cell carcinomas in predicting recurrence after surgical excision. Br J Dermatol 96:127–132PubMed
22.
Zurück zum Zitat Strutton GM (1997) Pathological variants of basal cell carcinoma. Australas J Dermatol 38 [Suppl 1]:S31–S35 Strutton GM (1997) Pathological variants of basal cell carcinoma. Australas J Dermatol 38 [Suppl 1]:S31–S35
23.
Zurück zum Zitat Sussman LA (1996) Incompletely excised basal cell carcinoma: a management dilemma? Aust N Z J Surg 66:276–278PubMed Sussman LA (1996) Incompletely excised basal cell carcinoma: a management dilemma? Aust N Z J Surg 66:276–278PubMed
24.
Zurück zum Zitat Wolf DJ (1987) Surgical margins of basal cell carcinoma. Arch Dermatol 123:340–344PubMed Wolf DJ (1987) Surgical margins of basal cell carcinoma. Arch Dermatol 123:340–344PubMed
Metadaten
Titel
Evaluation of effectiveness of surgical treatment and histopathological characteristics of basal cell carcinoma in Turkish patients
verfasst von
U. Koçer
H. M. Aksoy
Y. O. Tiftikcioglu
H. Çöloğlu
B. Aksoy
M. G. Ulusoy
M. Astarcı
Publikationsdatum
01.09.2003
Verlag
Springer-Verlag
Erschienen in
European Journal of Plastic Surgery / Ausgabe 5/2003
Print ISSN: 0930-343X
Elektronische ISSN: 1435-0130
DOI
https://doi.org/10.1007/s00238-003-0480-2

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