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Differences of Mohs micrographic surgery in basal cell carcinoma versus squamous cell carcinoma
Author(s) -
Delgado Jiménez Yolanda,
CamareroMulas Celia,
SanmartínJiménez Onofre,
Garcés Joan R.,
RodríguezPrieto Manuel Ã.,
AlonsoAlonso Teresa,
Miñano Medrano Roman,
LópezEstebaranz Jose L.,
Eusebio Murillo Esther,
Redondo Pedro,
CiudadBlanco Cristina,
Toll Agusti,
Artola Igarza Juan L.,
Allende Markixana Irati,
Suarez Fernández Ricardo,
Alfaro Rubio Alberto,
Alonso Pacheco Marãa L.,
VázquezVeiga Hugo,
Cueva Dobao Pablo,
RuizSalas Verónica,
Vilarrasa Eva,
Barchino Lucia,
MoralesGordillo Victoriano,
OcerinGuerra Izascun,
Navarro Tejedor Raquel,
Hueso Luis,
Mayor Arenal Matias,
SeoanePose Maria J.,
CanoMartinez Natividad,
GarciaDoval Ignacio,
Descalzo Miguel A.
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.14223
Subject(s) - medicine , basal cell carcinoma , mohs surgery , basal cell , incidence (geometry) , perioperative , surgery , immunosuppression , prospective cohort study , carcinoma , cohort , physics , optics
Background The two main tumors treated with Mohs micrographic surgery ( MMS ) are basal cell carcinoma ( BCC ) and squamous cell carcinoma ( SCC ). There are no studies analyzing whether MMS is different when treating these two types of tumors. Objective We aim to compare the characteristics of the patients, the tumors, and MMS , and first‐year follow‐up of MMS in BCC and SCC . Methods REGESMOHS is a prospective cohort study of patients treated with MMS . The participating centers are 19 Spanish hospitals where at least one MMS is performed per week. Data on characteristics of the patients, tumors, and surgery were recorded. The follow‐up was done with two visits: the first visit within 1 month after surgery and the second one within the first year. Results From July 2013 to April 2017, a total of 2,669 patients who underwent MMS were included in the registry. Of them, 2,448 (93%) were diagnosed with BCC , and 181 (7%) were diagnosed with SCC . Patients with SCC were older than those with BCC (median age 73 years vs. 68 years) and presented immunosuppression more frequently. The tumor size was significantly larger in the SCC group. Regarding surgery, deeper invasion was more frequent in SCC , resulting in larger defects. Despite this, SCC did not require more stages to get clear margins or more time in the operating room. Incomplete Mohs was more frequent in the SCC group (6%) than in the BCC group (2%). The incidence of perioperative complications was higher when treating SCC . There were more relapses in the first‐year follow‐up in the SCC group. Conclusion There are significant differences when comparing MMS in BCC and SCC . Knowledge of these differences can help to prepare the patient and plan the surgery, optimizing results.