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Keep it simple. A ten-year experience in reconstructions after Mohs micrographic surgery
Brandão, Caroline Martins; Weimann, Ellem Tatiani de Souza; Terzian, Luiz Roberto; Machado Filho, Carlos DApparecida Santos; Paschoal, Francisco Macedo; Criado, Paulo Ricardo.
Afiliação
  • Brandão, Caroline Martins; Centro Universitário Saúde ABC. Dermatology Department. Santo André. BR
  • Weimann, Ellem Tatiani de Souza; Centro Universitário Saúde ABC. Dermatology Department. Santo André. BR
  • Terzian, Luiz Roberto; Centro Universitário Saúde ABC. Dermatology Department. Santo André. BR
  • Machado Filho, Carlos DApparecida Santos; Centro Universitário Saúde ABC. Dermatology Department. Santo André. BR
  • Paschoal, Francisco Macedo; Centro Universitário Saúde ABC. Dermatology Department. Santo André. BR
  • Criado, Paulo Ricardo; Centro Universitário Saúde ABC. Dermatology Department. Santo André. BR
An. bras. dermatol ; 95(6): 714-720, Nov.-Dec. 2020. tab, graf
Artigo em Inglês | LILACS, Coleciona SUS | ID: biblio-1142130
Biblioteca responsável: BR1.1
ABSTRACT
Abstract

Background:

Mohs micrographic surgery is worldwide used for treating skin cancers. After obtaining tumor-free margins, choosing the most appropriate type of closure can be challenging.

Objectives:

Our aim was to associate type of surgical reconstructions after Mohs micrographic surgery with the characteristics of the tumors as histological subtype, anatomical localization and especially number of surgical stages to achieve complete excision of the tumour.

Methods:

Transversal, retrospective analyses of medical records. Compilation of data such as gender, age, tumor location, histological subtype, number of stages to achieve clear margins and type of repair used.

Results:

A total of 975 of facial and extra-facial cases were analyzed. Linear closure was the most common repair by far (39%) and was associated with the smallest number of Mohs micrographic surgery stages. This type of closure was also more common in most histological subtypes and anatomical locations studied. Using Poisson regression model, nose defects presented 39% higher frequency of other closure types than the frequency of primary repairs, when compared to defects in other anatomic sites (p< 0.05). Tumors with two or more stages had a 28.6% higher frequency of other closure types than those operated in a single stage (p< 0.05). Study

limitations:

Retrospective study with limitations in obtaining information from medical records. The choice of closure type can be a personal choice.

Conclusions:

Primary closure should not be forgotten especially in surgical defects with fewer stages and in non-aggressive histological subtypes in main anatomic sites where Mohs micrographic surgery is performed.
Assuntos


Texto completo: Disponível Coleções: Bases de dados nacionais / Brasil Base de dados: LILACS / Coleciona SUS Assunto principal: Neoplasias Cutâneas / Carcinoma Basocelular / Procedimentos de Cirurgia Plástica Tipo de estudo: Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Humanos Idioma: Inglês Revista: An. bras. dermatol Ano de publicação: 2020 Tipo de documento: Artigo Instituição/País de afiliação: Centro Universitário Saúde ABC/BR

Texto completo: Disponível Coleções: Bases de dados nacionais / Brasil Base de dados: LILACS / Coleciona SUS Assunto principal: Neoplasias Cutâneas / Carcinoma Basocelular / Procedimentos de Cirurgia Plástica Tipo de estudo: Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Humanos Idioma: Inglês Revista: An. bras. dermatol Ano de publicação: 2020 Tipo de documento: Artigo Instituição/País de afiliação: Centro Universitário Saúde ABC/BR
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