Management of periocular keratinocyte carcinomas with Mohs micrographic surgery and predictors of complex reconstruction: a retrospective study

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dc.catalogadordfo
dc.contributor.authorPeirano, Dominga
dc.contributor.authorVargas Mancilla, Sebastián Enrique
dc.contributor.authorHidalgo Acuña, Leonel Esteban
dc.contributor.authorDonoso Mendieta, Francisca
dc.contributor.authorAbusleme, Eugenia
dc.contributor.authorSanhueza Zamora, Felipe Alberto
dc.contributor.authorCárdenas de la Torre, Consuelo Paz
dc.contributor.authorDroppelmann, Katherine
dc.contributor.authorCastro Ayala, Juan Camilo
dc.contributor.authorUribe González, Pablo Francisco
dc.contributor.authorZoroquiain Velez, José Pablo
dc.contributor.authorNavarrete Dechent, Cristián Patricio
dc.date.accessioned2023-12-01T18:33:44Z
dc.date.available2023-12-01T18:33:44Z
dc.date.issued2023
dc.description.abstractBackground: Skin cancer is the most frequent cancer worldwide and the most frequent periocular tumor. Keratinocyte Carcinomas (KC) located in periorificial areas, such as periocular tumors, are considered high-risk tumors. Mohs Micrographic Surgery (MMS) is considered the first line for the treatment of high-risk KC, providing a lower recurrence rate than conventional wide excision. Objective: To describe the clinical-pathological features of periocular KC treated with MMS in a tertiary university center in Chile. Methods: A single-center, retrospective study of patients with KC located on the periocular area, that underwent MMS between 2017---2022. MMS details were recorded. Results: One hundred thirteen patients with periocular carcinomas were included. The mean age was 59 ± 13 years; 52% were women. The most frequent location was the medial canthus (53%), followed by the lower eyelid (30.1%). The most frequent BCC histology was the nodular variant (59.3%). Regarding MMS, the average number of stages was 1.5 ± 0.7, and 54% of the cases required only 1 stage to achieve clear margins. To date, no recurrence has been reported. Tumors larger than 8.5 mm in largest diameter or 43.5 mm2were more likely to require complex reconstruction. Study limitations: Retrospective design and a relatively low number of patients in the SCC group. Possible selection bias, as larger or more complex cases, may have been referred to oculoplastic surgeons directly.
dc.fechaingreso.objetodigital2023-12-01
dc.fuente.origenORCID
dc.identifier.doi10.1016/j.abd.2023.05.004
dc.identifier.eissn1806-4841
dc.identifier.issn0365-0596
dc.identifier.urihttps://doi.org/10.1016/j.abd.2023.05.004
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/75456
dc.identifier.wosidWOS:001205448900001
dc.information.autorucEscuela de Medicina; Vargas Mancilla, Sebastián Enrique; 0009-0007-7363-2569; 234476
dc.information.autorucEscuela de Medicina; Hidalgo Acuña Leonel Esteban; 0000-0002-2782-2835; 1095646
dc.information.autorucEscuela de Química; Donoso Mendieta, Francisca; 0000-0002-3445-1665; 186713
dc.information.autorucEscuela de Medicina; Abusleme, Eugenia; 0000-0001-5970-5492; 182470
dc.information.autorucEscuela de Medicina; Sanhueza Zamora, Felipe Alberto; 0009-0008-5690-649X; 132791
dc.information.autorucEscuela de Medicina; Cárdenas de la Torre, Consuelo Paz; 0009-0005-6729-8360; 132739
dc.information.autorucEscuela de Medicina; Droppelmann, Katherine; 0009-0009-1235-757X; 151172
dc.information.autorucEscuela de Medicina; Uribe Gonzalez Pablo Francisco; 0000-0002-3573-2338; 9032
dc.information.autorucEscuela de Medicina; Zoroquiain Velez, José Pablo; 0000-0002-3164-1842; 175130
dc.information.autorucEscuela de Medicina; Navarrete Dechent, Cristián Patricio; 0000-0003-4040-3640; 156251
dc.language.isoen
dc.nota.accesoContenido completo
dc.pagina.final8
dc.pagina.inicio1
dc.revistaAnais Brasileiros de Dermatologia
dc.rightsacceso abierto
dc.subjectCarcinoma
dc.subjectEyelid neoplasms
dc.subjectKeratinocytes
dc.subjectMohs surgery
dc.subjectNeoplasms
dc.subjectSkin
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleManagement of periocular keratinocyte carcinomas with Mohs micrographic surgery and predictors of complex reconstruction: a retrospective study
dc.typeartículo
sipa.codpersvinculados234476
sipa.codpersvinculados1095646
sipa.codpersvinculados186713
sipa.codpersvinculados182470
sipa.codpersvinculados132791
sipa.codpersvinculados132739
sipa.codpersvinculados151172
sipa.codpersvinculados9032
sipa.codpersvinculados175130
sipa.codpersvinculados156251
sipa.trazabilidadORCID;2023-11-27
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