Influence of radicality surgical excision on results in the treatment of Basocellular Skin Carcinoma (BCC)

Abstract

With the prospective study, from June 2003 to January 2013, were compared the results of treatment of basocellular carcinomas (BCC) of the skin in 210 respondents. The respondents were divided into 3 groups. The first group, group A (61 respondents) consisted of respondents treated for BCC with surgical excision, with distance incision of 1 cm from the tumor. In the second group, group B (79 respondents) were classified respondents treated for BCC with surgical excision, at distance incision 2 cm from the tumor, while the third group, group C (70 respondents) was classified by respondents treated with surgical excision of BCC, at distance incision approximately 3cm from the tumor. The parameters for comparison of treatment results were: the method (radicality) of treatment, number of the relapse, elapsed time from surgery to relapse and subsequent disfiguration. The aim of this study was to determine the optimal radicality in the treatment of BCC, i.e., the number of relapses in relation to the radicalism of the BCC excisions. In most of the respondents, intraoperative skin defect was closed by direct suture. Spare distance, from the edge of the BCC, which amounts to 1 cm in group A, results in significantly lower percentage of disfigurement. At the same time, in group A was recorded the highest number of recurrences of BCC. Radical surgeries of BCC, which were performed with the resection margin of 3 cm from the BCC, resulted in the lowest number of relapses, but statistically significant percentage of postoperative disfigurement. The most optimal excisional distance from the edge of the BCC is about 2 cm. Due to the significantly smaller number of disfigurement, resections distance of 2 cm from the BCC and direct suture of postoperative defect take precedence, regardless of the localization of the tumor.