Author/Authors :
Jowkar، Farideh نويسنده Department of Dermatology, Skin Research Center, Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran , , Sadati، Maryam Sadat نويسنده Molecular Dermatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran , , Sari Aslani، Fatemeh نويسنده Department of Pathology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran; , , Ahrari، Iman نويسنده Medical Student, Shiraz University of Medical Sciences, Shiraz, Iran ,
Abstract :
Background: Cutaneous malignancies are common in dermatologic practice. Due
to their relation to sun exposure the characteristics of these malignancies can differ in
various geographic locations. This study intends to determine the characteristics of
surgically treated cutaneous malignancies and various surgical modalities that have been
applied.
Methods: This was a retrospective study of patients with cutaneous malignancies
who underwent surgery over a six-year period. Data regarding the general information,
type of malignancy, location, surgical margin involvement and specific surgical
modalities were recorded and analyzed.
Results:A total of 432 patients were included. Basal cell carcinoma was the most
common malignancy (82.8%) followed by squamous cell carcinoma (13.4%). Lentigo
maligna, keratoacanthoma, basosquamous carcinoma, sebaceous carcinoma and
Bowen’s disease accounted for the minority of cases. Patientsʹ mean age was 65.7 years
and the most common location was the nose and cheeks. The mean diameter was 2.97
cm. Excision was performed with safe margins. Incomplete excision was seen in 14%
of basal cell and 15% of squamous cell carcinoma cases. The most common type of
defect closure was a simple closure (43.9%).
Conclusion: Basal cell carcinoma is the most common type of cutaneous malignancy.
Surgery yields a satisfactory response as treatment for this cutaneous malignancy.
