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首页> 外文期刊>Dermatologic surgery >Incomplete excision of basal cell carcinoma: rate and associated factors among 362 consecutive cases.
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Incomplete excision of basal cell carcinoma: rate and associated factors among 362 consecutive cases.

机译：基底细胞癌不完全切除：连续362例病例的发生率和相关因素。

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BACKGROUND: Reported rates of incomplete excision of basal cell carcinoma (BCC) range from 4% to 16.6%. OBJECTIVE: The objective was to assess, in clinical practice, the rate and the factors associated with pathologically reported incomplete excision of BCC. METHODS: In this retrospective monocentric study, data from all surgically excised BCCs during the year 2004 were computerized. Age, sex, number of BCC excised during the same surgical session, BCC location, pathologic types, and involvement of surgical margins were analyzed. RESULTS: Mean age of the 284 patients was 67.4+/-14.9 (SD) years (range, 27-96 years). A total of 52.7% of the 362 BCCs were located on the face (including nose, 10%; eyelids, 4.2%; lips, 2%; and ears, 2.2%). Incomplete excisions occurred in 10.3% of the cases including 8.6% of positive lateral margins and 2.5% of positive deep margins. In the multivariate analysis, incomplete excision was independently associated with location on the nasal ala (p<.02), other parts of the nose(p=.02), and inner canthus (p=.01) and with infiltrative (p<.0001) and multifocal (p<.0001) types. CONCLUSION: Pathologically reported incomplete excision rate was comparable to that of other studies and was significantly associated with the location on the face, particularly on the nose and inner canthus, and with infiltrative and multifocal histologic types.
机译：背景：报道的基底细胞癌（BCC）不完全切除的发生率在4％至16.6％之间。目的：目的是在临床实践中评估与病理报告的BCC切除不完全相关的发生率和相关因素。方法：在这项回顾性单中心研究中，将2004年所有手术切除的BCC的数据进行了计算机处理。分析了年龄，性别，在同一次手术中切除的BCC数量，BCC位置，病理类型以及手术切缘的累及情况。结果：284例患者的平均年龄为67.4 +/- 14.9（SD）岁（范围27-96岁）。 362个BCC中总共有52.7％位于面部（包括鼻子10％;眼睑4.2％;嘴唇2％;耳朵2.2％）。 10.3％的病例发生不完全切除，包括8.6％的阳性侧切缘和2.5％的阳性深切缘。在多变量分析中，不完全切除与鼻翼位置（p <.02），鼻子其他部位（p = .02）和内inner骨（p = .01）以及浸润性（p <。 .0001）和多焦点（p <.0001）类型。结论：病理报告的不完全切除率与其他研究相当，并且与面部位置，尤其是鼻子和内can的位置以及浸润性和多灶性组织学类型显着相关。

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