Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 63, Issue 12 , Pages 2057-2063 , December 2010

Risk and outcome analysis of 1832 consecutively excised basal cell carcinoma's in a tertiary referral plastic surgery unit

Received 13 June 2009 ,Accepted 19 January 2010.

References 

  1. Crouch HE. History of basal cell carcinoma and its treatment. J Roy Soc Med. 1983;76:302–306
  2. Miller SJ. Biology of basal cell carcinoma (I). J Am Acad Dermatol. 1991;24:1–13
  3. Miller SJ. Biology of basal cell carcinoma (II). J Am Acad Dermatol. 1991;24:161–175
  4. Rigel DS, Friedman RJ, Kopf AW. Lifetime risk for development of skin cancer in the U.S. Population: current estimate is now 1in 5. J Am Acad Dermatol. 1996;35:1012–1013
  5. Holme SA, Malinovsky K, Roberts DL. Changing trends in non-melanoma skin cancer in South Wales. 1988–1998. Br J Dermatol. 2000;143:1224–1229
  6. Griffith BH, McKinney P. An appraisal of the treatment of basal cell carcinoma of the skin. Plast Reconstr Surg. 1973;51:565–571
  7. Kuijpers DI, Thissen MR, Neumann MH. Basal cell carcinoma: treatment options and prognosis, a scientific approach to a common malignancy. Am J Clin Dermatol. 2002;3:247–259
  8. Bower CP, Lear JT, De Berker DA. Basal cell carcinoma follow up practices by dermatologists a national survey. Br J Dermatol. 2001;145:949–956
  9. Dubin N, Kopf AW. Multivariate risk score for recurrence of cutaneous basal cell carcinomas. Arch Dermatol. 1983;119:373–377
  10. Bart RS, Schrager D, Kopf AW, et al. Scalpel excision of basal cell carcinomas. Arch Dermatol. 1978;114:739–742
  11. Epstein E. How accurate is the visual assessment of basal cell carcinoma margins?. Br J Dermatol. 1973;89:37–43
  12. Park AJ, Strick M, Watson JD. Basal cell carcinomas: do they need to be followed up?. J R Coll Surg Edinb. 1994;39:109–111
  13. Richmond JD, Davie RM. The significance of incomplete excision in patients with basal cell carcinoma. Br J Plast Surg. 1987;40:63–67
  14. Gooding CA, White G, Yatsuhashi M. Significance of marginal extension in excised basal cell carcinoma. N Engl J Med. 1965;273:923–924
  15. Rintala A. Surgical therapy of basal cell carcinoma: correlation of the macroscopic and microscopic control of excision with recurrence. Scand J Plast Reconstr Surg. 1971;5:87–90
  16. Emmett AJJ, Broadbent GG. Basal cell carcinoma in Queensland. ANZ J Surg. 1981;51:576–590
  17. Rakofsky SI. Adequacy of the surgical excision of basal cell carcinoma. Ann Ophthalmol. 1973;5:596–600
  18. Telfer NR, Colver GB, Bowers PW. Guidelines for the management of basal cell carcinoma. Br J Dermatol. 1999;141:415–423
  19. Hayes H. Basal cell carcinoma: the East Grinstead experience. Plast Reconstr Surg. 1962;30:273–280
  20. Koplin L, Zarem HA. Recurrent basal cell carcinoma. Plast Reconstr Surg. 1980;65:656–663
  21. Fleischer AB, Feldman SR, Jo Barlow, et al. The specialty of the treating physician affects the likelihood of tumour free resection margins for basal cell carcinoma: results from a multi-institutional retrospective study. J Am Acad Dermatol. 2001;44:224–230
  22. Kumar P, Orton CI, McWilliam LJ, et al. Incidence of incomplete excision in surgically treated basal cell carcinoma: a retrospective clinical audit. Br J Plast Surg. 2000;53:563–566
  23. Robins T, Albom MJ. Recurrent basal cell carcinomas in young women. J Dermatol Surg. 1975;1:49–51
  24. Griffiths RW. Audit of histologically incompletely excised basal cell carcinomas: recommendations for management by re-excision. Br J Plast Surg. 1999;52:24–28
  25. Sussman LAE, Liggins DS. Incompletely excised basal cell carcinoma: A management dilemma?. ANZ J Surg. 1996;66:276–278
  26. Hauben DJ, Zirkin H, Mahler D, et al. The biologic behavior of basal cell carcinoma: part1. Plast Reconstr Surg. 1982;69:103–109
  27. Kumar P, Watson S, Brain AN, et al. Incomplete excision of basal cell carcinoma: a prospective multicentre audit. Br J Plast Surg. 2002;55:616–622
  28. Hallock GG, Lutz DA. A prospective study of the accuracy of the surgeon's diagnosis and significance of positive margins in non-melanoma skin cancers. Plast Reconstr Surg. 2001;107:942–947
  29. Dieu T, Macleod AM. Incomplete excision of basal cell carcinomas: a retrospective audit. Anz J Surg. 2002;72:219–221
  30. Hussain M, Earley MJ. The incidence of incomplete excision in surgically treated basal cell carcinoma: a retrospective clinical audit. Ir Med J. 2003;96:18–20Jan
  31. Bogdanov-Berezovsky A, Cohen AD, Glesinger R, et al. Risk factor for incomplete excision of basal cell carcinomas. Acta Derm Venereol. 2004;84:44–47
  32. Wilson AW, Howsam G, Santhanam V, et al. Surgical management of incompletely excised basal cell carcinomas of the head and neck. Br J Oral Maxillofac Surg. 2000;38:633–636
  33. Griffiths RW, Survarna SK, Stone J. Do basal cell carcinomas recur after complete conventional surgical excision. Br J Plast Surg. 2005;58:795–805
  34. Griffiths RW, Suvarna SK, Stone J. Basal cell carcinoma histological clearance margins: an analysis of 1539 conventionally excised tumours. Wider still and deeper?. J Plast Reconstr Aesthetic Surg. 2007;60:41–47
  35. Binstock JH. Recurrent basal cell carcinoma. Plast Reconstr Surg. 1981;67:697–699
  36. Goldberg LH. Basal cell carcinoma. Lancet. 1996;347:663–667
  37. Liu FF, Maki E, Warde P, et al. A management approach to incompletely excised basal cell carcinomas of the skin. Int J Radiat Oncol Biol Phys. 1991;20:423–428
  38. Friedman HI, Williams T, Zemora S, et al. Recurrent basal cell carcinoma in margin- positive tumour. Ann Plast Surg. 1997;38:232–235
  39. Sarma DP, Griffing CC, Weilbaecher TG. Observations on the inadequately excised basal cell carcinoma. J Surg Oncol. 1984;25:79–80
  40. Fanchimont C, Pierard GE, Van Cauwenberge D, et al. Episodic progression and regression of basal cell carcinoma. Br J Dermatol. 1982;106:305–310

☆ This paper has been presented in the British Association of Plastics, Reconstructive and Aesthetics Surgeons on the 9th July 2008.

PII: S1748-6815(10)00051-3

doi: 10.1016/j.bjps.2010.01.016

Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 63, Issue 12 , Pages 2057-2063 , December 2010

Article Tools

* Image Usage & Resolution