Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
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A Retrospective Clinical View of Basal Cell Carcinoma and Squamous Cell Carcinoma in the Head and Neck Region: A Single Institution's Experience of 247 Cases over 19 Years

  • Kang, Kyung Won (Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine) ;
  • Lee, Dong Lark (Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine) ;
  • Shin, Hea Kyeong (Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine) ;
  • Jung, Gyu Yong (Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine) ;
  • Lee, Joon Ho (Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine) ;
  • Jeon, Myeong Su (Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine)
  • Received : 2015.06.24
  • Accepted : 2015.12.03
  • Published : 2016.06.20
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Abstract

Background: The two most common skin cancers are basal cell carcinoma (BCC) and squamous cell carcinoma (SCC). The purpose of this study was to describe the detailed clinical behavior of BCC and SCC in the head and neck region over 19 years at a single institution. Methods: A retrospective analysis was performed for all patients with non-melanoma skin cancer who had undergone surgical resection over an 18-year period. Patient charts were reviewed for demographic information, tumor size, onset-to-diagnosis, anatomic location, clinical subtype, histologic differentiation, method of surgical treatment, and recurrence. Results: The review identified 265 cases of either BCC or SCC in 226 patients. Of the 226 patients, 80 (35.4%) were men and 146 (64.6%) were women. BCC (n=138, 55.9%) was more frequent than SCC (109, 44.1%). The most frequent age group was 70-to-79 year olds (45 patients, 35.2%) for BCC and 80-to-89 year olds (41 patients, 41.8%) for SCC. By aesthetic units of the face, the most common location was the nasal unit (44 cases, 31.9%) for BCC and the buccal unit (23 cases, 21.1%) for SCC. The most common clinical subtype of BCC was the nodular type (80 cases, 58.0%). Local flaps were most commonly used to cover surgical defects (136 cases, 55.1%). Recurrent rates were 2.2% for BCC and 5.5% for SCC. Conclusion: In our study, many characteristics of BCC and SCC were compared to previously published reports were generally similar, except the ratio of BCC to SCC. Further study can help to establish the characteristics of BCC and SCC.

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References

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