Incomplete surgical excision of keratinocyte skin cancers: a systematic review and meta-analysis.

Author: ArbynM, JainA, KielyA L, NolanG S, TottyJ P, WadeR G, WormaldJ C R

Paper Details 
Original Abstract of the Article :
BACKGROUND: Keratinocyte or nonmelanoma skin cancer (NMSC) is the commonest malignancy worldwide. The usual treatment is surgical excision. Current guidelines underestimate incomplete excision rates. OBJECTIVES: We aimed to determine the risk of incomplete excision of NMSCs through a systematic rev...See full text at original site
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引用元:
https://doi.org/10.1111/bjd.19660

データ提供:米国国立医学図書館(NLM)

Incomplete Surgical Excision of Keratinocyte Skin Cancers: A Systematic Review and Meta-Analysis

Keratinocyte skin cancer (NMSC), the most prevalent malignancy worldwide, is typically treated with surgical excision. This systematic review and meta-analysis aimed to determine the risk of incomplete excision of NMSCs. The study analyzed data from 110 studies, including over 53,000 patients and over 106,000 basal cell carcinomas (BCCs) and 21,000 squamous cell carcinomas (SCCs). The analysis found that the proportion of incomplete excisions for BCCs was 11% and for SCCs was 9.4%. The risk of incomplete excision was significantly higher among general practitioners compared to dermatologists and plastic surgeons.

Improving Surgical Techniques for Skin Cancer

This study highlights the importance of accurate diagnosis and meticulous surgical technique in managing NMSCs. The findings indicate that incomplete excisions are more frequent than previously reported, highlighting the need for improved surgical training and standardized procedures to minimize the risk of recurrence. Imagine a desert traveler attempting to navigate a treacherous sandstorm. Just as a skilled guide can help them avoid hazards, experienced surgeons with meticulous techniques can ensure complete excision of skin cancers, reducing the risk of recurrence.

The Importance of Specialist Care

This study underscores the importance of seeking specialist care for the diagnosis and treatment of NMSCs. The findings demonstrate that dermatologists and plastic surgeons have lower rates of incomplete excisions compared to general practitioners, highlighting the benefit of specialized expertise in managing these complex cases. Just as a camel relies on its expert knowledge of the desert to find the best routes, individuals with NMSCs can benefit from the expertise of specialists in navigating the complexities of skin cancer diagnosis and treatment.

Dr.Camel's Conclusion

This comprehensive review provides a valuable framework for improving the management of NMSCs. The study's findings emphasize the importance of meticulous surgical technique, standardized procedures, and the role of specialist care in minimizing the risk of incomplete excisions and promoting optimal patient outcomes. Just as a camel carefully chooses its path through the desert to avoid dangers, individuals with NMSCs can navigate their treatment journey by seeking expert guidance and ensuring thorough surgical interventions. By prioritizing meticulous care and specialized expertise, we can pave the way for a brighter future for individuals facing skin cancer.
Date :
  1. Date Completed 2021-07-01
  2. Date Revised 2023-04-24
Further Info :

Pubmed ID

33131067

DOI: Digital Object Identifier

10.1111/bjd.19660

Related Literature

SNS
PICO Info
in preparation
Languages

English

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