Park A J, Strick M, Watson J D
Department of Plastic Surgery, Bangour General Hospital, Livingston, West Lothian, UK.
J R Coll Surg Edinb. 1994 Apr;39(2):109-11.
Basal cell carcinoma (BCC) is the commonest of the malignant skin tumours. The follow-up of patients following excision of these lesions varies immensely. The aim of this study was to assess the need for outpatient follow-up of patients who had a primary BCC excised. A retrospective study was performed using the case notes of 206 patients who had a primary BCC excised in Bangour General Hospital in the years 1986 and 1987. Fourteen were excluded from the study, leaving 192 patients with 215 lesions. The overall recurrence rate was 5.1% with 39% of lesions recurring if the tumour was incompletely excised compared with 1% if it was excised completely. Complete excision is therefore the key to surgical control and we feel that there is no need to follow up patients routinely if the BCC has been completely excised.
基底细胞癌（BCC）是最常见的恶性皮肤肿瘤。这些病变切除后患者的随访情况差异极大。本研究的目的是评估原发性BCC切除术后患者门诊随访的必要性。采用1986年和1987年在班古尔综合医院接受原发性BCC切除的206例患者的病历进行回顾性研究。14例被排除在研究之外，剩余192例患者有215处病变。总体复发率为5.1%，肿瘤切除不完全时病变复发率为39%，而完全切除时为1%。因此，完全切除是手术控制的关键，我们认为如果BCC已被完全切除，无需对患者进行常规随访。
