E-ISSN: 1308-5255 ISSN: 1307-7635
Requirement of Re-excision in Surgical Margin Positive Basal Cell Carcinoma Cases without Macroscopic Residual Lesions (Our Experience of 714 Cases and a Review of the Literature)
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Original Article
VOLUME: 16 ISSUE: 4
P: 115-119
December 2022

Requirement of Re-excision in Surgical Margin Positive Basal Cell Carcinoma Cases without Macroscopic Residual Lesions (Our Experience of 714 Cases and a Review of the Literature)

Turk J Dermatol 2022;16(4):115-119
DOI: 10.4103/tjd.tjd_45_22
Dinçer Altinel 1
Gaye Toplu 2
Merdan Serin 3
1. Plastic, Reconstructive and Aesthetic Surgery Department, Istanbul Training and Research Hospital, Health Sciences University, Istanbul, Turkey
2. Private Practice, Goztepe Training and Research Hospital, Medeniyet University, Istanbul, Turkey
3. Plastic, Reconstructive and Aesthetic Surgery Department, Goztepe Training and Research Hospital, Medeniyet University, Istanbul, Turkey
No information available.
No information available
Received Date: 14.03.2022
Accepted Date: 24.08.2022
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ABSTRACT

Background:

Basal cell carcinoma (BCC) is a local aggressive tumor, which almost never metastasizes. In this study, we investigated the results of our BCC cases in the last 9 years.

Objective:

The aim of this study was to better understand the re-excision requirements in positive surgical margin BCC cases.

Methods:

Seven hundred fourteen patients operated between 2012 and 2021 were included in the study. Localization, subtype, and re-excision results were investigated.

Statistical Analysis Used:

Descriptive analysis was performed.

Results:

The mean patient age was 66.9 years (range = 17–98 years). The most common localization for BCC was nasal region (n = 235), and the most common histopathological subtype was nodular (n = 298). Seventy-eight patients had positive margins following the excision. Thirty-eight re-excisions were performed. Thirty-one re-excisions revealed scar without any residue tumor. None of the 78 cases with positive surgical margin returned with a relapse.

Conclusion:

We evaluated the reliability and efficiency of our excision limits with the pathological evaluation. We achieved significantly high cure rates, even by reducing our excision margins up to 1 mm in critical anatomical structures.

Keywords:
Basal cell carcinoma, excision margin, skin cancer