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Treatment of non-melanoma skin cancer in north Sardinia: is there a need for biopsy?

Campus, Gian Vittorio and Alfano, Carmine and Lissia, Mario and Farace, Francesco and Soggiu, Daniela and Rubino, Corrado (2004) Treatment of non-melanoma skin cancer in north Sardinia: is there a need for biopsy? Acta Chirurgiae Plasticae, Vol. 46 (4), p. 110-114. eISSN 0001-5423. Article.

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Abstract

Non-melanoma skin cancer (NMSC) is the most common type of skin cancer. Important controversial issues are the need for incisional biopsies, surgical margin, and timing of follow-up. Methods. A retrospective study was undertaken on 2544 lesions. Accuracy of diagnosis and prevalence of incomplete excision were evaluated, comparing clinical and histological diagnosis using 2 tests with Yates’ correction. Kaplan-Meier recurrence graphs have been obtained. Results. Lesions were correctly diagnosed in 94% of basal cell carcinomas (BCC) and in 69% of squamous cell carcinomas (SCC) (p < 0.001). Positive margins on pathological examination were 6.6% for BCC and 6.8% for SCC. A significant difference for incomplete excision has been found for BCC in the face (p < 0.001). Kaplan- Meier survival curves showed a different pattern for BCC and SCC. Conclusions. On the basis of our data, if clinical diagnosis is BCC, excision and reconstruction may be undertaken without an incisional biopsy. Alternatively, if clinical diagnosis is SCC, it is advisable to consider an incisional biopsy, before definitive surgical treatment.

Item Type:Article
ID Code:1171
Status:Published
Refereed:Yes
Uncontrolled Keywords:Non-melanoma skin cancer, incisional biopsies, North Sardinia
Subjects:Area 06 - Scienze mediche > MED/19 Chirurgia plastica
Divisions:001 Università di Sassari > 03 Istituti > Dermatologia
Publisher:Czech medical association J. Ev. Purkyně
eISSN:0001-5423
Deposited On:18 Aug 2009 10:04

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