ABSTRACT
OBJECTIVE: Patients with nonmelanoma skin cancer (NMSC)-ie, basal cell carcinoma (BCC) or squamous cell carcinoma (SCC)-have an increased risk of developing a second skin cancer. The aim of this study was to describe the frequency, incidence per 1000 person-years, and predictors of a second skin cancer in a cohort of patients with NMSC treated with Mohs micrographic surgery (MMS). MATERIAL AND METHODS: Prospective study of a national cohort of patients with NMSC who underwent MMS at 22 Spanish hospitals between July 2013 and February 2020; case data were recorded in the REGESMOHS registry. The study variables included demographic characteristics, frequency and incidence per 1000 person-years of second skin cancers diagnosed during the study period, and risk factors identified using mixed-effects logistic regression. RESULTS: We analyzed data for 4768 patients who underwent MMS; 4397 (92%) had BCC and 371 (8%) had SCC. Mean follow-up was 2.4 years. Overall, 1201 patients (25%) developed a second skin cancer during follow-up; 1013 of the tumors were BCCs (21%), 154 were SCCs (3%), and 20 were melanomas (0.4%). The incidence was 107 per 1000 person-years (95% CI, 101-113) for any cancer, 90 per 1000 person-years (95% CI, 85-96) for BCC, 14 (95% CI, 12-16) per 1000 person-years for SCC, and 2 (95% CI, 1-3) per 1000 person-years for melanoma. More men than women developed a subsequent skin cancer (738 [61%] vs 463 [39%]). The main risk factors were a history of multiple tumors before diagnosis (relative risk [RR], 4.6; 95% CI, 2.9-7.1), immunosuppression (RR, 2.1; 95% CI, 1.4-3.1), and male sex (RR, 1.6; 95% CI, 1.4-1.9). CONCLUSION: Patients have an increased risk of developing a second tumor after MMS treatment of NMSC. Risk factors are a history of multiple tumors at diagnosis, immunosuppression, and male sex.
Subject(s)
Carcinoma, Basal Cell , Carcinoma, Squamous Cell , Melanoma , Neoplasms, Basal Cell , Skin Neoplasms , Carcinoma, Basal Cell/epidemiology , Carcinoma, Basal Cell/pathology , Carcinoma, Basal Cell/surgery , Carcinoma, Squamous Cell/epidemiology , Carcinoma, Squamous Cell/pathology , Carcinoma, Squamous Cell/surgery , Cohort Studies , Female , Humans , Male , Melanoma/complications , Mohs Surgery , Prospective Studies , Risk Factors , Skin Neoplasms/epidemiology , Skin Neoplasms/etiology , Skin Neoplasms/surgeryABSTRACT
No disponible
Subject(s)
Humans , Male , Aged , Plastic Surgery Procedures/methods , Scalp/surgery , Skin Transplantation , Scalp/injuries , Postoperative ComplicationsABSTRACT
En la práctica diaria, es frecuente que el cirujano dermatológico deba extirpar varias lesiones tumorales próximas entre sí en la región facial. Para ello, es importante planificar una técnica reconstructiva adecuada que permita, si es posible, abordar las lesiones en un solo acto quirúrgico, proporcionando buenos resultados funcionales y estéticos. A continuación se presentan 5 casos de pacientes en los que se ha empleado un único colgajo para realizar el cierre de varios defectos próximos
In daily clinical practice, the dermatologic surgeon frequently has to excise closely adjacent tumors in the facial region. In such cases, planning of an appropriate reconstruction technique is essential. The aim is to treat all of the lesions in a single surgical intervention, if possible, and to achieve a good functional and cosmetic outcome. We present 5 patients in whom a single flap was used to repair multiple adjacent defects
Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Surgical Flaps/surgery , Surgical Flaps , Skin Neoplasms/surgery , Skin Neoplasms/epidemiology , Skin Neoplasms/therapy , Life Style , Case Reports , SpainABSTRACT
In daily clinical practice, the dermatologic surgeon frequently has to excise closely adjacent tumors in the facial region. In such cases, planning of an appropriate reconstruction technique is essential. The aim is to treat all of the lesions in a single surgical intervention, if possible, and to achieve a good functional and cosmetic outcome. We present 5 patients in whom a single flap was used to repair multiple adjacent defects.
Subject(s)
Facial Neoplasms/surgery , Plastic Surgery Procedures/methods , Surgical Flaps/surgery , Aged , Aged, 80 and over , HumansABSTRACT
No disponible
Subject(s)
Female , Humans , Male , Hidradenitis/complications , Hidradenitis/epidemiology , Hidradenitis/prevention & control , Quality of Life , 5-Aminolevulinate Synthetase/therapeutic use , Phototherapy/methods , Phototherapy/trends , Evidence-Based Practice/methods , Evidence-Based Practice/trends , Phototherapy/instrumentation , Phototherapy/standardsABSTRACT
No disponible
Subject(s)
Aged, 80 and over , Humans , Male , Ear Auricle/surgery , Soft Tissue Neoplasms/surgery , Skin Transplantation/methods , Plastic Surgery Procedures/methods , Ear Auricle/pathology , Surgical FlapsABSTRACT
No disponible
Subject(s)
Humans , Myocutaneous Flap , Lip/surgery , Plastic Surgery Procedures/methods , Lip/abnormalitiesABSTRACT
No disponible
Subject(s)
Humans , Female , Middle Aged , Laser Therapy/methods , Lasers, Gas/therapeutic use , Nail Diseases/surgery , Nails, Ingrown/surgeryABSTRACT
El colgajo de pedículo subcutáneo en V-Y es útil en la cobertura de defectos de pequeño-mediano tamaño en áreas donde es fácil obtener un buen pedículo subcutáneo (labio superior, región malar, ciliar, punta y alas nasales). La práctica ausencia de tejido subcutáneo en la cara anterior del pabellón auricular condiciona su uso en esta localización. Presentamos 4 casos en los que utilizamos este colgajo para la reparación de defectos quirúrgicos ubicados en hélix, fosa escafoidea y antitrago, con un buen resultado funcional y estético
The subcutaneous pedicled V-Y advancement flap is useful for the repair of small and medium-sized defects in areas where it is easy to obtain a good subcutaneous pedicle (upper lip, cheek, eyebrow, and nasal tip and ala). The almost complete absence of subcutaneous tissue on the anterior aspect of the auricle of the ear can limit the use of this approach in this region. We present 4 patients in whom subcutaneous pedicled V-Y advancement flaps were used to repair surgical defects of the helix, scaphoid fossa, and antitragus, achieving a good functional and aesthetic result in all cases
Subject(s)
Humans , Surgical Flaps , Ear Auricle/transplantation , Skin Neoplasms/surgery , Plastic Surgery ProceduresABSTRACT
La mejilla es la subunidad anatómica mayor de la cara. Es una estructura bilateral, por lo que es necesario respetar la simetría. Por otra parte contacta periféricamente con importantes orificios naturales cuya localización debemos respetar en la reconstrucción quirúrgica. Esto es particularmente importante en la subunidad cigomático-medial, cuya delicada unión con el párpado inferior hace que tengamos que ser cuidadosos para evitar un ectropión. Presentamos 5 opciones reconstructivas de defectos quirúrgicos secundarios a la extirpación de otros tantos tumores en esta localización
The cheek is the largest anatomical subunit of the face. It is a bilateral structure and symmetry must therefore be preserved. Peripherally it is related to important natural orifices whose location must also be maintained during surgical reconstructions. This is particularly important in the medial zygomatic subunit, whose delicate junction with the lower eyelid means that care must be taken to avoid ectropion. We present 5 options for the reconstruction of surgical defects secondary to the excision of tumors in this region
Subject(s)
Humans , Zygoma/surgery , Cheek/surgery , Skin Neoplasms/surgery , Plastic Surgery Procedures/methodsSubject(s)
Carcinoma, Basal Cell/surgery , Carcinoma, Squamous Cell/surgery , Lip Neoplasms/surgery , Lip/surgery , Neoplasm Recurrence, Local/surgery , Neoplasms, Multiple Primary/surgery , Plastic Surgery Procedures/methods , Surgical Flaps , Tongue/surgery , Aged , Esthetics , Humans , Male , Mohs SurgeryABSTRACT
The cheek is the largest anatomical subunit of the face. It is a bilateral structure and symmetry must therefore be preserved. Peripherally it is related to important natural orifices whose location must also be maintained during surgical reconstructions. This is particularly important in the medial zygomatic subunit, whose delicate junction with the lower eyelid means that care must be taken to avoid ectropion. We present 5 options for the reconstruction of surgical defects secondary to the excision of tumors in this region.
Subject(s)
Cheek/surgery , Facial Neoplasms/surgery , Aged , Female , Humans , Male , Plastic Surgery Procedures/methodsABSTRACT
No disponible