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- Title
Frequency of incomplete excision of low risk facial basal cell carcinoma with a safety margin of three millimetre.
- Authors
Ullah, Hidayat; Tahir, Muhammad; Khan, Mansoor; Naz, Shazia
- Abstract
Objective: To determine the frequency of incomplete excision of low risk facial Basal cell carcinoma with a safety margin of 3 millimeters. Study design: Descriptive Cross-sectional study. Settings: Plastic and reconstructive unit, Hayatabad Medical Complex, Peshawar from 24th January 2015 to 23rd July 2016. Material and Methods: Patients of any age and gender diagnosed with low risk facial BCC excluding those patients with the history of previous treatment or any concurrent skin neoplasia. After informed consent all the patients were subjected to surgical excision with a safety margin of 3mm under local anesthesia by plastic surgeons with a minimal 5 years post-fellowship experience. The histo-pathological examination of the excised specimens was performed by experienced histo-pathologists in the same laboratory for the margin clearance. All the data were collected in a specialized proforma and analyzed with SPSS version 17. The results were presented in the form of tables and graphs. Results: A total of 88 cases of low risk facial BCC with age ranging from 31-90 years with mean age of 63.6+ 9.8 years including 56(63.6 %) male and 32(36.4%) female patients were included in the study. In 72(81.8 %) cases the low risk facial BCCs were completely excised. In 16(18.2%) cases the BCCs margins were reported to be incompletely excised. The frequency of in-complete excision was 14.3% and 25% in male and female patients respectively. The incomplete excision rate was found to be highest (42.86%) in the age group of 41-50 years. Conclusion: The frequency of incomplete excision of low risk facial BCC with 3mm safety margin was higher than other studies with highest rates in the female group and comparatively younger age groups. Further multi-center, randomized control trails are suggested to support the results.
- Subjects
BASAL cell carcinoma; CARCINOMA; AGE groups; CANCER; PLASTIC surgeons
- Publication
Pakistan Journal of Surgery, 2018, Vol 34, Issue 1, p72
- ISSN
0258-8552
- Publication type
Article