Basal Cell Carcinoma: 10 Years of Experience

Introduction. Basal cell carcinoma (BCC) is a locally invasive malignant epidermal tumour. Incidence is increasing by 10% per year; incidence of metastases is minimal, but relapses are frequent (40%–50%). The complete excision of the BCC allows reduction of relapse. Materials and Methods. The study...

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Main Authors: Emanuele Cigna, Mauro Tarallo, Michele Maruccia, Valentina Sorvillo, Alessia Pollastrini, Nicolò Scuderi
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Journal of Skin Cancer
Online Access:http://dx.doi.org/10.1155/2011/476362
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author Emanuele Cigna
Mauro Tarallo
Michele Maruccia
Valentina Sorvillo
Alessia Pollastrini
Nicolò Scuderi
author_facet Emanuele Cigna
Mauro Tarallo
Michele Maruccia
Valentina Sorvillo
Alessia Pollastrini
Nicolò Scuderi
author_sort Emanuele Cigna
collection DOAJ
description Introduction. Basal cell carcinoma (BCC) is a locally invasive malignant epidermal tumour. Incidence is increasing by 10% per year; incidence of metastases is minimal, but relapses are frequent (40%–50%). The complete excision of the BCC allows reduction of relapse. Materials and Methods. The study cohort consists of 1123 patients underwent surgery for basal cell carcinoma between 1999 and 2009. Patient and tumor characteristics recorded are: age; gender; localization (head and neck, trunk, and upper and lower extremities), tumor size, excisional margins adopted, and relapses. Results. The study considered a group of 1123 patients affected by basal cell carcinoma. Relapses occurred in 30 cases (2,67%), 27 out of 30 relapses occurred in noble areas, where peripheral margin was <3 mm. Incompletely excised basal cell carcinoma occurred in 21 patients (1,87%) and were treated with an additional excision. Discussion. Although guidelines indicate 3 mm peripheral margin of excision in BCC <2 cm, in our experience, a margin of less than 5 mm results in a high risk of incomplete excisions.
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institution Kabale University
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language English
publishDate 2011-01-01
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series Journal of Skin Cancer
spelling doaj-art-a4f948e329e343bbb8b07fdb9de94fe62025-02-03T01:22:54ZengWileyJournal of Skin Cancer2090-29052090-29132011-01-01201110.1155/2011/476362476362Basal Cell Carcinoma: 10 Years of ExperienceEmanuele Cigna0Mauro Tarallo1Michele Maruccia2Valentina Sorvillo3Alessia Pollastrini4Nicolò Scuderi5Department of Plastic and Reconstructive Surgery, Policlinico Umberto I, 00161 Rome, ItalyDepartment of Plastic and Reconstructive Surgery, Policlinico Umberto I, 00161 Rome, ItalyDepartment of Plastic and Reconstructive Surgery, Policlinico Umberto I, 00161 Rome, ItalyDepartment of Plastic and Reconstructive Surgery, Policlinico Umberto I, 00161 Rome, ItalyDepartment of Plastic and Reconstructive Surgery, Policlinico Umberto I, 00161 Rome, ItalyDepartment of Plastic and Reconstructive Surgery, Policlinico Umberto I, 00161 Rome, ItalyIntroduction. Basal cell carcinoma (BCC) is a locally invasive malignant epidermal tumour. Incidence is increasing by 10% per year; incidence of metastases is minimal, but relapses are frequent (40%–50%). The complete excision of the BCC allows reduction of relapse. Materials and Methods. The study cohort consists of 1123 patients underwent surgery for basal cell carcinoma between 1999 and 2009. Patient and tumor characteristics recorded are: age; gender; localization (head and neck, trunk, and upper and lower extremities), tumor size, excisional margins adopted, and relapses. Results. The study considered a group of 1123 patients affected by basal cell carcinoma. Relapses occurred in 30 cases (2,67%), 27 out of 30 relapses occurred in noble areas, where peripheral margin was <3 mm. Incompletely excised basal cell carcinoma occurred in 21 patients (1,87%) and were treated with an additional excision. Discussion. Although guidelines indicate 3 mm peripheral margin of excision in BCC <2 cm, in our experience, a margin of less than 5 mm results in a high risk of incomplete excisions.http://dx.doi.org/10.1155/2011/476362
spellingShingle Emanuele Cigna
Mauro Tarallo
Michele Maruccia
Valentina Sorvillo
Alessia Pollastrini
Nicolò Scuderi
Basal Cell Carcinoma: 10 Years of Experience
Journal of Skin Cancer
title Basal Cell Carcinoma: 10 Years of Experience
title_full Basal Cell Carcinoma: 10 Years of Experience
title_fullStr Basal Cell Carcinoma: 10 Years of Experience
title_full_unstemmed Basal Cell Carcinoma: 10 Years of Experience
title_short Basal Cell Carcinoma: 10 Years of Experience
title_sort basal cell carcinoma 10 years of experience
url http://dx.doi.org/10.1155/2011/476362
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AT maurotarallo basalcellcarcinoma10yearsofexperience
AT michelemaruccia basalcellcarcinoma10yearsofexperience
AT valentinasorvillo basalcellcarcinoma10yearsofexperience
AT alessiapollastrini basalcellcarcinoma10yearsofexperience
AT nicoloscuderi basalcellcarcinoma10yearsofexperience