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Predicting Incomplete Basal Cell Carcinoma Excisions - a Large Multidisciplinary Retrospective Analysis in a Tertiary Center

2020Journal article Open access
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dc.contributor.authorDuarte, B
dc.contributor.authorVieira, L
dc.contributor.authorPessoa e Costa, T
dc.contributor.authorRibeiro, L
dc.contributor.authorJoão, A
dc.contributor.authorCabete, J
dc.contributor.authorVaranda Pereira, A
dc.date.accessioned2022-03-03T15:17:15Z
dc.date.available2022-03-03T15:17:15Z
dc.date.issued2020
dc.description.abstractIntroduction: Surgical treatment of basal cell carcinomas is often performed by physicians with different surgical backgrounds. Collecting data from different surgical departments would better reflect their real-life surgical management.Objectives: To identify the rate, recurrence risk, and predictive factors accordingly to their relative contribution for an incomplete basal cell carcinoma excision in a large multidisciplinary real-life settingMethods: Retrospective cohort study of 2305 surgically treated lesions in different departments of a tertiary center.Results: There was a rate of incomplete excisions (15%) and a recurrence rate (35.5% vs. 6.8% in incomplete vs. complete excisions (p < .001)). A third of incompletely excised basal cell carcinoma (BCC) will recur over time. Stratified by relevancy, high-risk histological subtypes (micronodular (OR 5.10 - p < .001) and morpheaform (OR 5.42 - p < .001), smaller specimen sizes ( <0.5 cm or 0.5-1 cm, OR 3.99 and 2.49, respectively, p < .001) high-risk locations (OR 3.06 on the nose, OR 2.77 on the eyelids, p < .001), and recurrent BCCs (OR 1.72, p < .001). are the best predictors of an incomplete excision.Conclusions: Acknowledging the rate, recurrence risk and predictive factors for incomplete excisions may be beneficial for optimal preoperative planning and to prevent unwarranted re-interventions, morbidity, and healthcare costs.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Dermatolog Treat. 2020 Sep;31(6):583-588.pt_PT
dc.identifier.doi10.1080/09546634.2019.1687815.pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/3981
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherTaylor & Francispt_PT
dc.subjectHSAC DERpt_PT
dc.subjectHSJ CPRpt_PT
dc.subjectAgedpt_PT
dc.subjectFemalept_PT
dc.subjectMalept_PT
dc.subjectHumanspt_PT
dc.subjectCarcinoma, Basal Cell / mortalitypt_PT
dc.subjectCarcinoma, Basal Cell / pathologypt_PT
dc.subjectCarcinoma, Basal Cell / surgerypt_PT
dc.subjectFollow-Up Studiespt_PT
dc.subjectMiddle Agedpt_PT
dc.subjectNeoplasm Recurrence, Localpt_PT
dc.subjectOdds Ratiopt_PT
dc.subjectRisk Factorspt_PT
dc.subjectRetrospective Studiespt_PT
dc.subjectSkin Neoplasms / mortalitypt_PT
dc.subjectSkin Neoplasms / pathologypt_PT
dc.subjectSkin Neoplasms / surgerypt_PT
dc.subjectSurvival Ratept_PT
dc.subjectTertiary Care Centerspt_PT
dc.titlePredicting Incomplete Basal Cell Carcinoma Excisions - a Large Multidisciplinary Retrospective Analysis in a Tertiary Centerpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage588pt_PT
oaire.citation.startPage583pt_PT
oaire.citation.titleJournal of Dermatological Treatmentpt_PT
oaire.citation.volume31pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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