Staged-surgery with permanent pathology for the management of high-risk nonmelanoma skin cancer of the nose


ESKİİZMİR G., Gençoǧlan G., TEMİZ P., Hirçin Z., Ermertcan A.

European Archives of Oto-Rhino-Laryngology, cilt.268, sa.1, ss.117-121, 2011 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 268 Sayı: 1
  • Basım Tarihi: 2011
  • Doi Numarası: 10.1007/s00405-010-1324-x
  • Dergi Adı: European Archives of Oto-Rhino-Laryngology
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.117-121
  • Anahtar Kelimeler: Nose, Nonmelanoma skin cancer, Basal cell carcinoma, Squamous cell carcinoma
  • Manisa Celal Bayar Üniversitesi Adresli: Evet

Özet

The objective of the study was to investigate the effect of staged-surgery with permanent pathology on tumour recurrence of high-risk nonmelanoma skin cancers (NMSCs) of the nose and to determine the factors associated with subclinical spread and deep-margin involvement. Twenty-one patients who underwent staged-surgery with permanent pathology for high-risk NMSCs of the nose between 2007 and 2008 were prospectively followed-up for tumour recurrence. The incidence of tumour recurrence after staged-surgery with permanent pathology was 0%. A positive correlation between perineural involvement and subclinical spread (p = .012); and a statistically significant relationship between infiltrative type basal cell carcinoma (BCC) and deep-margin involvement (p = .033) was detected. Staged-surgery with permanent pathology is a reliable surgical method for complete excision of high-risk NMSCs of the nose and provides a significant decrease in tumour recurrence. Perineural involvement may cause subclinical spread, and infiltrative type BCC may invade deeper structures of the nose. © 2010 Springer-Verlag.