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Optimal Timing of Surgical Excision in Pediatric Pilomatricoma: Association between Clinicopathological Features and Cosmetic Outcomes
Annals of Dermatology ; : 93-100, 2020.
Artigo em Inglês | WPRIM | ID: wpr-811090
ABSTRACT

BACKGROUND:

The treatment of choice for pilomatricomas is surgical excision; however, data for the optimal timing of treatment and cosmetic outcomes are limited.

OBJECTIVE:

This study aimed to investigate the optimal timing of treatment in pilomatricomas by considering clinicopathological findings and cosmetic outcomes.

METHODS:

Seventy-three pilomatricomas patients aged ≤15 years were retrospectively reviewed. Patients were classified into early excision (disease duration ≤12 months, group A) and delayed excision groups (disease duration >12 months, group B). Tumor characteristics, and histopathological features with evolutionary stages were assessed. Cosmetic outcomes were evaluated by the Modified Vancouver Scar Scale (MVSS), 5-point patient satisfaction score, and complication rates.

RESULTS:

Group A showed better cosmetic outcomes than group B in the MVSS (1.53±1.22 vs. 3.68±1.84), 5-point patient satisfaction score (4.08±0.89 vs. 3.18±1.01), and complication rates (11.8% vs. 36.4%), respectively (p<0.05). Secondary anetoderma, tent sign, calcification, and late regressive stage (evolutionary stage IV) were more common in group B, (p<0.05). Moreover, evolutionary stages showed a positive correlation with mean MVSS (r=0.670, p<0.05).

CONCLUSION:

Early excision (disease duration ≤12 months) provides superior cosmetic outcomes compared to delayed procedures. Early recognition, diagnosis, and management for pediatric pilomatricomas is important to improve overall cosmetic outcomes.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Estudos Retrospectivos / Cicatriz / Satisfação do Paciente / Pilomatrixoma / Diagnóstico / Anetodermia Tipo de estudo: Estudo diagnóstico / Estudo observacional / Fatores de risco Limite: Humanos Idioma: Inglês Revista: Annals of Dermatology Ano de publicação: 2020 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Estudos Retrospectivos / Cicatriz / Satisfação do Paciente / Pilomatrixoma / Diagnóstico / Anetodermia Tipo de estudo: Estudo diagnóstico / Estudo observacional / Fatores de risco Limite: Humanos Idioma: Inglês Revista: Annals of Dermatology Ano de publicação: 2020 Tipo de documento: Artigo