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评估维生素 D 缺乏患者中补充维生素 D 对基底细胞癌发生率和复发率的影响。

Assessing the Effect of Vitamin D Replacement on Basal Cell Carcinoma Occurrence and Recurrence Rates in Patients with Vitamin D Deficiency.

机构信息

Department of Plastic & Reconstructive and Aesthetic Surgery, Meram Faculty of Medicine, Necmettin Erbakan University, 42080, Meram, Konya, Turkey.

出版信息

Horm Cancer. 2019 Dec;10(4-6):145-149. doi: 10.1007/s12672-019-00365-2. Epub 2019 Jun 28.

Abstract

The study aimed to determine whether 25-OH vitamin D deficiency is present in patients with diagnosed BCC, and the effect of vitamin D replacement on the rates of BCC recurrence in patients with 25-OH vitamin D deficiency. In this prospective study, between 2012 and 2017, in the first stage, 25-OH vitamin D levels of all patients diagnosed with BCC between 2012 and 2013 were evaluated. In the second stage between 2014 and 2015, we evaluated the 25-OH vitamin D level of patients who had 25-OH vitamin D level < 25 ng/mL. All the patients included in the second stage had BCC recurrence. In the third stage, the patients who were diagnosed 25-OH vitamin D deficiency with BCC, between 2015 and 2017, were studied. The mean 25-OH vitamin D level of the patients in the second stage was 10.12 ng/mL. Recurrence was observed in 9.64% of the patients in the second stage. The mean level of serum 25-OH vitamin D in the third stage was 40.1 ng/mL, and 3.49% of these patients presented with recurrence. In all the patients as the initial diagnosis and following the 25-OH vitamin D level in all the patients with BCC recurrence, maintaining 25-OH vitamin D levels above 25 ng/mL can significantly reduce the recurrence rate.

摘要

本研究旨在确定诊断为 BCC 的患者是否存在 25-OH 维生素 D 缺乏,以及维生素 D 替代治疗对 25-OH 维生素 D 缺乏患者的 BCC 复发率的影响。在这项前瞻性研究中,在 2012 年至 2017 年期间,在第一阶段评估了 2012 年至 2013 年间诊断为 BCC 的所有患者的 25-OH 维生素 D 水平。在 2014 年至 2015 年的第二阶段,我们评估了 25-OH 维生素 D 水平<25ng/mL 的患者的 25-OH 维生素 D 水平。第二阶段纳入的所有患者均出现 BCC 复发。在第三阶段,研究了 2015 年至 2017 年间患有 BCC 且诊断为 25-OH 维生素 D 缺乏的患者。第二阶段患者的平均 25-OH 维生素 D 水平为 10.12ng/mL。第二阶段患者中有 9.64%观察到复发。第三阶段血清 25-OH 维生素 D 的平均水平为 40.1ng/mL,其中 3.49%的患者复发。在所有患者中,作为初始诊断,并在所有 BCC 复发患者中检测 25-OH 维生素 D 水平后,将 25-OH 维生素 D 水平维持在 25ng/mL 以上可显著降低复发率。

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