Treatment of Pigmented Basal Cell Carcinoma with 3 mm Surgical Margin in Asians
Joint Authors
Lin, Shang-Hung
Cheng, Yu-Wen
Ho, Ji-Chen
Lee, Chih-Hung
Yang, Yi-Chien
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-08-29
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
In Asians, most basal cell carcinomas (BCCs) are pigmented with clear borders.
The consensus of 4 mm surgical margin for BCC largely depends on studies in nonpigmented BCCs in Caucasians.
However, little is known about recurrences of pigmented BCCs with a narrower surgical margin.
We aimed to investigate 5-year recurrence of BCCs, either pigmented or nonpigmented, in Taiwanese with 3 mm surgical margin.
Materials and Methods.
143 patients with BCC (M/F = 66/77, average 64 years) were confirmed pathologically from 2002 to 2013.
Based on the pathological margin (>1 mm, ≤1 mm, and involved), patients were categorized into the complete excision group ( n = 77 ), histology with close proximity group ( n = 43 ), and unclear surgical margin group ( n = 23 ).
Results.
Among 143 cases, 105 were pigmented.
With standard 3 mm excision, there were 7 recurrences, with 6 of them from nonpigmented BCC group.
Logistic regression showed that pigmentation was associated with lower recurrence.
Interestingly, 5-year recurrence of completely excised and histology with close proximity BCC (0/77 versus 1/43) was not different statistically.
Conclusions.
A 3 mm surgical margin is adequate for pigmented BCC.
A “wait and see” approach rather than further wide excision is appropriate for BCC with <1 mm free margin.
American Psychological Association (APA)
Lin, Shang-Hung& Cheng, Yu-Wen& Yang, Yi-Chien& Ho, Ji-Chen& Lee, Chih-Hung. 2016. Treatment of Pigmented Basal Cell Carcinoma with 3 mm Surgical Margin in Asians. BioMed Research International،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1098849
Modern Language Association (MLA)
Lin, Shang-Hung…[et al.]. Treatment of Pigmented Basal Cell Carcinoma with 3 mm Surgical Margin in Asians. BioMed Research International No. 2016 (2016), pp.1-6.
https://search.emarefa.net/detail/BIM-1098849
American Medical Association (AMA)
Lin, Shang-Hung& Cheng, Yu-Wen& Yang, Yi-Chien& Ho, Ji-Chen& Lee, Chih-Hung. Treatment of Pigmented Basal Cell Carcinoma with 3 mm Surgical Margin in Asians. BioMed Research International. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1098849
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1098849