J 2024

Algorithm of skin malignancies therapy at Department of Plastic and Aesthetic Surgery in Brno and achieved results

FERKODIČOVÁ, Iveta, Zdeněk DVOŘÁK, Karolína SVOBODOVÁ, T. VÝŠKA, P. NOVÁK et. al.

Basic information

Original name

Algorithm of skin malignancies therapy at Department of Plastic and Aesthetic Surgery in Brno and achieved results

Authors

FERKODIČOVÁ, Iveta, Zdeněk DVOŘÁK, Karolína SVOBODOVÁ, T. VÝŠKA, P. NOVÁK, I. STUPKA and Zdeněk BEDNAŘÍK

Edition

Acta chirurgiae plasticae, PRAGUE, GALEN SRO, 2024, 0001-5415

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30212 Surgery

Country of publisher

Czech Republic

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 0.400 in 2022

Organization unit

Faculty of Medicine

DOI

UT WoS

999

Keywords in English

basalioma; spinalioma; excision; controlled excision; skin cancer; algorithm

Tags

Tags

International impact, Reviewed
Změněno: 2/9/2024 10:25, Mgr. Tereza Miškechová

Abstract

V originále

Introduction: Skin malignancy is one of the most common reasons for seeking out a plastic surgery clinic. This article presents an overview of the therapeutic results at Department of Plastic and Aesthetic Surgery Brno and includes an algorithm according to which we proceed in the treatment of patients with skin malignancy. Material and methods: Retrospective analysis of data for the year 2022, including a set of 791 patients with a total of 1,117 procedures to remove skin malignancy. The representation of cutaneous malignancy was as follows – basalioma (51%), squamous cell carcinoma (14%), and other malignancies including precancerous lesions were represented in 35%. Age, sex, a character and a number of procedures (excision, re-excision, controlled excision), and the histological results of resected specimens (with a sufficient margin or ingrowth) were evaluated. Based on the analysis of the patient cohort, an algorithm is presented to guide the surgical management of the patient. Results: Patients’ age ranged from 26 to 102 years. There was a discrete male predominance in the cohort (51%). Tumour localization was most frequently on the skin of the face, cleavage, and extremities. Regarding the spectrum of procedures, excision accounted for the largest proportion (83%). Reexcision accounted for the rest of the procedures (10%), controlled excision was performed in 6% and excisional biopsy accounted for 1%. Primary sanative excision with a histologically sufficient margin was performed in 96%. In the group of controlled excisions, 59% were sanative. Overall, 73% of patients in our cohort underwent a single operation only to remove a cutaneous malignancy. Conclusion: The results of the therapy and the algorithm of the care for patients with skin malignancy can be evaluated as successful based on the analysis performed. The determination of the surgical strategy according to the algorithm appears to be effective. The authors recommend its use in practice, especially with the current trend of the increasing incidence of skin malignancies and the desire to improve the effectiveness of surgical interventions.