Department of Dermatolog, San Cecilio University Hospital, Granada, Spain.
Dermatology. 2012;224(2):177-83. doi: 10.1159/000337419. Epub 2012 Mar 31.
Incomplete excision of non-melanoma skin cancer is a clinical indicator of surgical care. With most basal cell carcinomas arising on the face and considering the cosmetic and functional structures involved, it is interesting to identify what are the areas within the face with more likelihood of incomplete excision and the factors implicated. The aim of this study was to identify those areas and possible predictive factors. Six anatomical regions were considered and studied selectively.
A monocentric study was performed reviewing all facial basal cell carcinomas excised at our center during 2010. Data were analyzed using SPSS software.
202 lesions from 202 subjects were studied. The percentage of incomplete excision was 17.07%.
Lesions located in the orbitopalpebral and auricular areas and those with moderate to severe grade of associated elastosis are more likely to be incompletely excised. Wider surgical margins are observed in frontal, malar and labial areas which are distant from functional structures. The following tumor features were found to be a risk factor for incomplete resection: morpheic or superficial histology, large lesions (>20 mm) and thick lesions (>6 mm).
非黑素瘤皮肤癌切除不完整是手术护理的一个临床指标。由于大多数基底细胞癌发生在面部，并且考虑到涉及的美容和功能结构，了解哪些是面部更有可能切除不完整的区域以及涉及的因素是很有趣的。本研究旨在确定这些区域和可能的预测因素。考虑并选择性地研究了六个解剖区域。
进行了一项单中心研究，回顾了 2010 年在我们中心切除的所有面部基底细胞癌。使用 SPSS 软件分析数据。
研究了 202 名患者的 202 处病变。切除不完整的百分比为 17.07%。
位于眼眶和耳区的病变以及伴有中重度弹性组织相关病变的病变更有可能切除不完整。额部、颊部和唇部等远离功能结构的区域观察到更宽的手术切缘。以下肿瘤特征被认为是切除不完整的风险因素：形态学或表浅组织学、大病变（>20mm）和厚病变（>6mm）。
