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- Title
Recurrencia de carcinoma basocelular en extirpaciones incompletas.
- Authors
Vidal-Flores, Angélica Adriana; Alcalá-Pérez, Daniel; Torres-González, Sonia; Morales-Sánchez, Martha Alejandra; Marmolejo-Chavira, Melanie; Navarrete-Franco, Gisela; Medina-Bojórquez, Armando; Enríquez-Merino, Julio
- Abstract
BACKGROUND: The 5-year recurrence rate of basal cell carcinoma after surgical intervention is 3.2 to 8%. Incomplete removal increases the risk from 4.7 to 12.8%; nevertheless, only 50% of these the tumor persist when reintervention is done. OBJECTIVE: To determine the recurrence rate of basal cell carcinoma after incomplete removal by histopathology. MATERIAL AND METHOD: A retrospective cohort study that included patients with surgical removal and histopathological diagnosis of basal cell carcinoma, done from 2008 to 2013; patients would comply with 5 years of follow-up. Patients with multicentric histological subtype were excluded. RESULTS: There were included 102 patients; 50 (49%) had incomplete removal (exposed group) and 52 (51%) complete removal (non-exposed group). The recurrence at 5 years was 8 (8%), of which 7 (14%) corresponded to the group of those exposed and 1 (2%) to the group of those not exposed, which gave a relative risk of 8.3 [(p 0.026) IC 0.779-0.987)]. The mean time-lapse to recurrence was 21 months. CONCLUSION: Incomplete removal of basal cell carcinoma confers 8.3 times more risk of recurrence compared to a complete removal. The histological variety most associated with recurrence was the infiltrant. Mixed histology in basal cell carcinoma is very common in our population and so far, is the largest number reported.
- Publication
Dermatología Revista Mexicana, 2019, Vol 63, Issue 6, p547
- ISSN
0185-4038
- Publication type
Article