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@article{2427917,
author = {Ferkodičová, Iveta and Dvořák, Zdeněk and Svobodová, Karolína and Výška, T. and Novák, P. and Stupka, I. and Bednařík, Zdeněk},
article_location = {PRAGUE},
article_number = {2},
doi = {http://dx.doi.org/10.48095/ccachp202467},
keywords = {basalioma; spinalioma; excision; controlled excision; skin cancer; algorithm},
language = {eng},
issn = {0001-5415},
journal = {Acta chirurgiae plasticae},
title = {Algorithm of skin malignancies therapy at Department of Plastic and Aesthetic Surgery in Brno and achieved results},
url = {https://acta-chirurgiae-plasticae.com/wp-content/uploads/2024/08/ACHP_2024_2-ferkodicova.pdf},
volume = {66},
year = {2024}
}
TY - JOUR
ID - 2427917
AU - Ferkodičová, Iveta - Dvořák, Zdeněk - Svobodová, Karolína - Výška, T. - Novák, P. - Stupka, I. - Bednařík, Zdeněk
PY - 2024
TI - Algorithm of skin malignancies therapy at Department of Plastic and Aesthetic Surgery in Brno and achieved results
JF - Acta chirurgiae plasticae
VL - 66
IS - 2
SP - 67-72
EP - 67-72
PB - GALEN SRO
SN - 00015415
KW - basalioma
KW - spinalioma
KW - excision
KW - controlled excision
KW - skin cancer
KW - algorithm
UR - https://acta-chirurgiae-plasticae.com/wp-content/uploads/2024/08/ACHP_2024_2-ferkodicova.pdf
N2 - 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.
ER -
FERKODIČOVÁ, Iveta, Zdeněk DVOŘÁK, Karolína SVOBODOVÁ, T. VÝŠKA, P. NOVÁK, I. STUPKA and Zdeněk BEDNAŘÍK. Algorithm of skin malignancies therapy at Department of Plastic and Aesthetic Surgery in Brno and achieved results. \textit{Acta chirurgiae plasticae}. PRAGUE: GALEN SRO, 2024, vol.~66, No~2, p.~67-72. ISSN~0001-5415. Available from: https://dx.doi.org/10.48095/ccachp202467.
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