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Basal cell carcinoma treated with Mohs micrographic surgery in young Ibero‐American patients
Author(s) -
AlumaTenorio María Soledad,
ÁvilaÁlvarez Alejandra,
Jaimes Natalia,
CaballeroUribe Natalia,
González Abel,
Terzian Luiz Roberto,
OcampoCandiani Jorge,
Zuluaga María Alejandra,
GarzaRodríguez Verónica,
TamayoBetancur María Carolina,
Cuesta Castro Diana Paola,
Garcés Joan Ramón,
RuizSalas Verónica,
Goldberg Leonard,
KimyaiAsadi Arash
Publication year - 2018
Publication title -
international journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.677
H-Index - 93
eISSN - 1365-4632
pISSN - 0011-9059
DOI - 10.1111/ijd.14195
Subject(s) - basal cell carcinoma , medicine , phototype , mohs surgery , incidence (geometry) , population , biopsy , dermatology , perineural invasion , retrospective cohort study , surgery , skin cancer , basal cell , cancer , pathology , physics , environmental health , optics
Abstract Background The incidence of basal cell carcinoma ( BCC ) in younger individuals has increased in recent decades. However, the characteristics of BCC s in this population, especially in Ibero‐Latin American countries, have not been completely defined. Objective To describe the demographic, clinical, and histopathological characteristics of BCC s in patients younger than 40 treated with Mohs Micrographic Surgery ( MMS ). Materials and Methods A multicenter, retrospective study conducted between January 2009 and December 2014, in five Ibero‐American countries, included biopsy‐proven BCC s in patients younger than 40 that were treated with MMS . Demographic, clinical, histopathological, and surgical characteristics were described. Results The study included 301 tumors in 241 patients, of whom 61% were female. The most common Fitzpatrick phototype was III . The most common histological subtypes were nodular (37.5%) and infiltrative (18.9%). Perineural invasion was encountered in 1.7%, and tumor clearance was achieved in 87.4% within two stages of MMS . Conclusions This is the first Ibero‐Latin American transnational study describing the characteristics of BCC s in young patients treated with MMS . Despite darker skin phototypes in this population, BCC s can occur in early ages and may present with aggressive features. Therefore, MMS may be considered an appropriate first‐line treatment option in this population.