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

J 2024

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

FERKODIČOVÁ, Iveta; Zdeněk DVOŘÁK; Karolína SVOBODOVÁ; Tomáš VÝŠKA; Pavel NOVÁK et. al.

Basic information

Original name

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

Authors

FERKODIČOVÁ, Iveta (703 Slovakia, belonging to the institution); Zdeněk DVOŘÁK (203 Czech Republic, belonging to the institution); Karolína SVOBODOVÁ (203 Czech Republic, belonging to the institution); Tomáš VÝŠKA (203 Czech Republic); Pavel NOVÁK (203 Czech Republic); Igor STUPKA (203 Czech Republic) and Zdeněk BEDNAŘÍK (203 Czech Republic, belonging to the institution)

Edition

Acta Chirurgiae Plasticae, Praha, Česká lékařská společnost J. E. Purkyně, z.s. 2024, 0001-5423

Other information

Language

English

Type of outcome

Article in a journal

Field of Study

30212 Surgery

Country of publisher

Czech Republic

Confidentiality degree

is not subject to a state or trade secret

References:

URL

RIV identification code

RIV/00216224:14110/24:00138842

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.48095/ccachp202467

EID Scopus

2-s2.0-85202004514

Keywords in English

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

Abstract

In the original language

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%). Re- excision 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.

Links

MUNI/A/1610/2023, interní kód MU

Name: Evaluace inovativních postupů plastické a rekonstrukční chirurgie IV

Investor: Masaryk University, Evaluation of Innovative Procedures in Plastic and Reconstructive Surgery IV

Cite

FERKODIČOVÁ, Iveta; Zdeněk DVOŘÁK; Karolína SVOBODOVÁ; Tomáš VÝŠKA; Pavel NOVÁK; Igor STUPKA and Zdeněk BEDNAŘÍK. Algorithm of skin malignancies therapy at Department of Plastic and Aesthetic Surfery in Brno and achieved results. Acta Chirurgiae Plasticae. Praha: Česká lékařská společnost J. E. Purkyně, z.s., 2024, vol. 66, No 2, p. 67-72. ISSN 0001-5423. Available from: https://dx.doi.org/10.48095/ccachp202467.

@article{2476278,
   author = {Ferkodičová, Iveta and Dvořák, Zdeněk and Svobodová, Karolína and Výška, Tomáš and Novák, Pavel and Stupka, Igor and Bednařík, Zdeněk},
   article_location = {Praha},
   article_number = {2},
   doi = {http://dx.doi.org/10.48095/ccachp202467},
   keywords = {basalioma; spinalioma; excision; controlled excision; skin cancer; algorithm},
   language = {eng},
   issn = {0001-5423},
   journal = {Acta Chirurgiae Plasticae},
   title = {Algorithm of skin malignancies therapy at Department of Plastic and Aesthetic Surfery 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  - 2476278
AU  - Ferkodičová, Iveta - Dvořák, Zdeněk - Svobodová, Karolína - Výška, Tomáš - Novák, Pavel - Stupka, Igor - Bednařík, Zdeněk
PY  - 2024
TI  - Algorithm of skin malignancies therapy at Department of Plastic and Aesthetic Surfery in Brno and achieved results.
JF  - Acta Chirurgiae Plasticae
VL  - 66
IS  - 2
SP  - 67-72
EP  - 67-72
PB  - Česká lékařská společnost J. E. Purkyně, z.s.
SN  - 00015423
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%). Re- excision 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; Tomáš VÝŠKA; Pavel NOVÁK; Igor STUPKA and Zdeněk BEDNAŘÍK. Algorithm of skin malignancies therapy at Department of Plastic and Aesthetic Surfery in Brno and achieved results. \textit{Acta Chirurgiae Plasticae}. Praha: Česká lékařská společnost J. E. Purkyně, z.s., 2024, vol.~66, No~2, p.~67-72. ISSN~0001-5423. Available from: https://dx.doi.org/10.48095/ccachp202467.

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