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The incidence and risk of involved margins in surgically resected basal cell carcinoma – A multi-centre consecutive case series

Published:September 14, 2021DOI:https://doi.org/10.1016/j.bjps.2021.08.012
      Skin malignancy, specifically basal cell carcinoma (BCC) is the most prevalent cancer in the United Kingdom (UK). Treatment for BCC commonly involves surgical excision with a pre-determined peripheral margin. Oncological clearance is key to preventing local recurrence, with only 1% of BCC's recurring with clear surgical margins versus 31–41% when involved.
      • Park A.J.
      • Strick M.
      • Watson J.D.
      Basal cell carcinomas: do they need to be followed up?.
      Recent systematic review evidence however suggests that the proportion of incomplete excisions is higher than previously reported, with significant variation amongst specialists.
      • Nolan G.S.
      • Kiely A.L.
      • Totty J.P.
      • Wormald J.C.
      • Wade R.G.
      • Arbyn M.
      • Jain A.
      Incomplete surgical excision of keratinocyte skin cancers: a systematic review and meta-analysis.
      Specialist management therefore has the potential to reduce the burden of re-excision, radiotherapy and ongoing surveillance .

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