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State of the art of Mohs surgery for rare cutaneous tumors in the Spanish Registry of Mohs Surgery (REGESMOHS)
Author(s) -
RodríguezJiménez Pedro,
Jimenez Yolanda D.,
Reolid Alejandra,
SanmartınJimenez Onofre,
Garces Joan R.,
RodríguezPrieto Manuel A.,
Medrano Roman M.,
Vilarrasa Eva,
EusebioMurillo Esther,
Redondo Pedro,
CiudadBlanco Cristina,
MoralesGordillo Victoriano,
TollAbelló Agustí,
ArtolaIgarza Juan L.,
Pacheco María L.A.,
Markixana Irati A.,
Fernández Ricardo S.,
Rubio Alberto A.,
VázquezVeiga Hugo,
FlórezMenéndez Angeles,
Cueva Dobao Pablo,
BotellaEstrada Rafael,
GarciaBracamonte Beatriz,
CarneroGonzález Lucia,
RuizSalas Veronica,
SánchezSambucety Pedro,
LópezEstebaranz Jose L.,
Gil Pilar,
Barchino Lucia,
Arenal Matías M.,
OcerinGuerra Izascun,
Hueso Luis,
SeoanePose María J.,
Gonzalez-Sixto Beatriz,
CanoMartinez Natividad,
EscutiaMuñoz Begoña,
OrtizRomero Pablo L.,
GarciaDoval Ignacio,
Descalzo Miguel A.
Publication year - 2020
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.14732
Subject(s) - medicine , merkel cell carcinoma , basal cell carcinoma , angiosarcoma , mohs surgery , sebaceous carcinoma , dermatology , dermatofibrosarcoma protuberans , atypical fibroxanthoma , carcinoma , surgery , pathology , basal cell , immunohistochemistry
Background The use of Mohs micrographic surgery (MMS) for rare cutaneous tumors is poorly defined. We aim to describe the demographics, tumor presentation and topography, surgery characteristics and complications of MMS for rare cutaneous tumors in a national registry. Methods Prospective cohort study of patients treated with MMS in Spain between July 2013 and June 2018. The inclusion criteria were patients with cutaneous tumors with final diagnosis different from basal cell carcinoma, squamous cell carcinoma, dermatofibrosarcoma protuberans , or any kind of melanoma. Results Five thousand and ninety patients were recorded in the registry, from which only 73 tumors (1.4%) fulfilled the inclusion criteria: atypical fibroxanthoma (18), microcystic adnexal carcinoma (10), extramammary Paget's disease (7), Merkel cell carcinoma (5), dermatofibroma (4), trichilemmal carcinoma (4), desmoplastic trichoepithelioma (4), sebaceous carcinoma (3), leiomyosarcoma (2), porocarcinoma (2), angiosarcoma (2), trichoblastoma (1), superficial acral fibromyxoma (1), and others (10). No intra‐surgery morbidity was registered. Postsurgery complications appeared in six patients (9%) and were considered mild. Median follow‐up time was 0.9 years during which three Merkel cell carcinomas, one angiosarcoma, one microcystic adnexal carcinoma, and four others recurred (12.3%). Conclusion This national registry shows that rare cutaneous tumors represent a negligible part of the total MMS performed in our country with a low complication rate.