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Concordant Surgical Treatment: Non-melanocytic Skin Cancer of the Head and Neck
Archives of Craniofacial Surgery ; : 37-43, 2017.
Article in English | WPRIM | ID: wpr-199177
ABSTRACT

BACKGROUND:

Skin cancer is the most common type of cancer. Of the 4 million skin lesions excised annually worldwide, approximately 2 million are considered cancerous. In this study, we aimed to describe a regional experience with skin cancers treated by a single senior surgeon and to provide a treatment algorithm.

METHODS:

The medical records of 176 patients with head and neck non-melanocytic skin cancer (NMSC) who were treated by a single surgeon at our institution between January 2010 and May 2016 were retrospectively reviewed, and their data (age, sex, pathological type, tumor location/size, treatment modality) were analyzed. Patients with cutaneous squamous cell carcinoma (cSCC) who were classified as a high-risk group for nodal metastasis underwent sentinel node mapping according to the National Comprehensive Cancer Network guidelines.

RESULTS:

Among the patients with NMSC who were treated during this period, basal cell carcinoma (BCC; n=102, 57.9%) was the most common pathological type, followed by cSCC (n=66, 37.5%). Most lesions were treated by complete excision, with tumor-free surgical margins determined via frozen section pathology. Thirty-one patients with high-metastasis-risk cSCC underwent sentinel node mapping, and 17 (54.8%) exhibited radiologically positive sentinel nodes. Although these nodes were pathologically negative for metastasis, 2 patients (6.5%) later developed lymph node metastases.

CONCLUSION:

In our experience, BCC treatment should comprise wide excision with tumor-free surgical margins and proper reconstruction. In contrast, patients with cSCC should undergo lymphoscintigraphy, as nodal metastases are a possibility. Proper diagnosis and treatment could reduce the undesirably high morbidity and mortality rates.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Pathology / Skin / Skin Neoplasms / Carcinoma, Basal Cell / Carcinoma, Squamous Cell / Medical Records / Retrospective Studies / Mortality / Diagnosis / Lymphoscintigraphy Type of study: Diagnostic study / Practice guideline / Observational study / Prognostic study Limits: Humans Language: English Journal: Archives of Craniofacial Surgery Year: 2017 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Pathology / Skin / Skin Neoplasms / Carcinoma, Basal Cell / Carcinoma, Squamous Cell / Medical Records / Retrospective Studies / Mortality / Diagnosis / Lymphoscintigraphy Type of study: Diagnostic study / Practice guideline / Observational study / Prognostic study Limits: Humans Language: English Journal: Archives of Craniofacial Surgery Year: 2017 Type: Article