Incomplete Excision of Basal Cell Carcinoma: Rate and Associated Factors among 362 Consecutive Cases

@article{Farhi2007IncompleteEO,
  title={Incomplete Excision of Basal Cell Carcinoma: Rate and Associated Factors among 362 Consecutive Cases},
  author={David Farhi and Nicolas Dupin and Andr{\'e} Palangi{\'e} and Agn{\`e}s Carlotti and M‐F. Avril},
  journal={Dermatologic Surgery},
  year={2007},
  volume={33},
  pages={1207–1214}
}
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… 
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109 Citations
Highly Influential Citations
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Background Citations
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Methods Citations
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Results Citations
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109 Citations

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The findings demonstrate that performing an internal audit may improve treatment quality and therefore may be helpful in optimizing the effectiveness of present treatment modalities and their costs and the development of standards and guidelines.
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Head and neck region BCCs, especially which are more prone to recurrence due to anatomical and histopathological properties, should be more closely monitored in order to decrease morbidity and health care costs.
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Clinicopathological Factors Associated with Incomplete Excision of High-risk Basal Cell Carcinoma.
TLDR
Mohs micrographic surgery should be used more often for type II-III basal cell carcinomas on the face and scalp, as no association was found between incomplete excision rates and tumour size, excision margins, use of a preoperative biopsy or surgeon experience.
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Head and neck BCCs, and SCCs are difficult to treat, and the need for complete tumor excision is mandatory prior to reconstruction.
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TLDR
The most common sites for incomplete excision were the ears, followed by the peri-ocular area, naso-labial folds and the nose, andMorphea type differentiation was associated with incomplete excisions, and risk factors related to incomplete excison were morphea type differentiate, repair by skin graft and lesions larger than 20 mm in diameter.
Attributes and risk factors of positive margins on 864 excisions of basal cell carcinomas: a single-center retrospective study
TLDR
Ag-P and H-zone remain critical risk factors for positive surgical margins (+SM) of excised BCC in a university hospital and appropriate treatment protocols should be used to ensure low + SM rates via CSE.
Variables Affecting Basal Cell Carcinoma and Melanoma In Situ Excision Clearance: A Multi-institutional Retrospective Study.
TLDR
Intrinsic tumor characteristics may influence the success of achieving tumor-free resection margins more than the specialty of the provider.
Rate of incomplete excision of basal cell carcinomas by General Practitioners with Special Interest
  • M. Twist
  • Medicine
    The British journal of dermatology
  • 2009
TLDR
The rate of incomplete excision of BCC in this GPwSI clinic compares favourably with the reported rates in the literature and may be of interest to readers for consideration of the role of General Practitioners with Special Interest in dermatological practice.
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