KEY TAKEAWAYS
- The study aimed to develop a treatment algorithm for managing skin malignancies at a Brno plastic surgery department.
- Researchers found the therapy and surgical algorithm effective for skin malignancies, recommending its practical use.
Skin cancer is a prevalent condition, prompting visits to plastic surgery clinics. It represents a significant concern within plastic and aesthetic surgery due to its impact on patient health and treatment outcomes.
Ferkodičová Iveta and the team aimed to outline an algorithm used for the treatment of patients with skin malignancy at the Department of Plastic and Aesthetic Surgery in Brno.
Researchers conducted a retrospective analysis of 91 patients and 1,117 procedures for skin cancer removal in 2022. The types of skin malignancy included basalioma (51%), squamous cell carcinoma (14%), and other malignancies or precancerous lesions (35%).
The analysis reviewed factors such as age, sex, type and number of procedures (excision, re-excision, controlled excision), and histological results of resected specimens. Based on this data, researchers developed an algorithm for guiding surgical management.
The results showed that patients ranged from 26 to 102 years old, with a slight male predominance (51%). Tumors were most commonly located on the face, cleavage, and extremities. Excision was the most frequent procedure, making up 83% of cases. Re-excision followed at 10%, controlled excision at 6%, and excisional biopsy at 1%.
A primary sanative excision with a sufficient histological margin was performed in 96% of cases, with 59% of controlled excisions being sanative. Overall, 73% of patients had only 1 operation to remove their skin cancer.
The study concluded that the therapeutic results and the proposed care algorithm for skin malignancy were successful. The algorithm proved effective in determining surgical strategy and is recommended for practice, especially given the rising incidence of skin malignancies.
No funding information was available.
Source: https://pubmed.ncbi.nlm.nih.gov/39174341/
Ferkodičová I, Dvořák Z, Svobodová K, et al. (2024). “Algorithm of skin malignancies therapy at Department of Plastic and Aesthetic Surgery in Brno and achieved results. Algorithm of skin malignancies therapy at Department of Plastic and Aesthetic Surgery in Brno and achieved results.” Acta Chir Plast. 2024;66(2):67-72. doi:10.48095/ccachp202467
