Basal cell carcinoma treated with Mohs micrographic surgery in young Ibero‐American patients
Background The incidence of basal cell carcinoma (BCC) in younger individuals has increased in recent decades. However, the characteristics of BCCs in this population, especially in Ibero‐Latin American countries, have not been completely defined. Objective To describe the demographic, clinical, and...
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| Veröffentlicht in: | International journal of dermatology 2018-12, Vol.57 (12), p.1447-1453 |
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| creator | Aluma‐Tenorio, María Soledad Ávila‐Álvarez, Alejandra Jaimes, Natalia Caballero‐Uribe, Natalia González, Abel Terzian, Luiz Roberto Ocampo‐Candiani, Jorge Zuluaga, María Alejandra Garza‐Rodríguez, Verónica Tamayo‐Betancur, María Carolina Cuesta‐ Castro, Diana Paola Garcés, Joan Ramón Ruiz‐Salas, Verónica Goldberg, Leonard Kimyai‐Asadi, Arash |
| description | Background
The incidence of basal cell carcinoma (BCC) in younger individuals has increased in recent decades. However, the characteristics of BCCs in this population, especially in Ibero‐Latin American countries, have not been completely defined.
Objective
To describe the demographic, clinical, and histopathological characteristics of BCCs in patients younger than 40 treated with Mohs Micrographic Surgery (MMS).
Materials and Methods
A multicenter, retrospective study conducted between January 2009 and December 2014, in five Ibero‐American countries, included biopsy‐proven BCCs in patients younger than 40 that were treated with MMS. Demographic, clinical, histopathological, and surgical characteristics were described.
Results
The study included 301 tumors in 241 patients, of whom 61% were female. The most common Fitzpatrick phototype was III. The most common histological subtypes were nodular (37.5%) and infiltrative (18.9%). Perineural invasion was encountered in 1.7%, and tumor clearance was achieved in 87.4% within two stages of MMS.
Conclusions
This is the first Ibero‐Latin American transnational study describing the characteristics of BCCs in young patients treated with MMS. Despite darker skin phototypes in this population, BCCs can occur in early ages and may present with aggressive features. Therefore, MMS may be considered an appropriate first‐line treatment option in this population. |
| doi_str_mv | 10.1111/ijd.14195 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2132250633</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2131553810</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3535-d512b3526ef9aea2d8726e322e0dfa577d66e6a4cab9fa8fc711c51d097a529f3</originalsourceid><addsrcrecordid>eNp1kMtOwkAUhidGI4gufAEziRtdFObC9LJEvGEwbnRrc5iewhDa4kwbws5H8Bl9EgdBFyaexbkkX_6c_yfklLMu99Uz86zL-zxRe6TNZaiCfijFPmkzxnmQMJW0yJFzc39KwfuHpCUZD-NYsTZ5vQIHC6px4RtYbcqqAFpbhBozujL1jD5WM0cLo201tbCcGU1dY6do19SUdF015ZSOJmirz_ePQYHWaCjpEmqDZe2OyUEOC4cnu9khL7c3z8P7YPx0NxoOxoGWSqogU1xMpBIh5gkgiCyO_C6FQJbloKIoC0MMoa9hkuQQ5zriXCuesSQCJZJcdsjFVndpq7cGXZ0Wxm1MQYlV41LhnQvFQik9ev4HnVeNLf13G4orJWPOPHW5pbxt5yzm6dKaAuw65SzdhJ760NPv0D17tlNsJgVmv-RPyh7obYGVWeD6f6V09HC9lfwCDh6MMg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2131553810</pqid></control><display><type>article</type><title>Basal cell carcinoma treated with Mohs micrographic surgery in young Ibero‐American patients</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Aluma‐Tenorio, María Soledad ; Ávila‐Álvarez, Alejandra ; Jaimes, Natalia ; Caballero‐Uribe, Natalia ; González, Abel ; Terzian, Luiz Roberto ; Ocampo‐Candiani, Jorge ; Zuluaga, María Alejandra ; Garza‐Rodríguez, Verónica ; Tamayo‐Betancur, María Carolina ; Cuesta‐ Castro, Diana Paola ; Garcés, Joan Ramón ; Ruiz‐Salas, Verónica ; Goldberg, Leonard ; Kimyai‐Asadi, Arash</creator><creatorcontrib>Aluma‐Tenorio, María Soledad ; Ávila‐Álvarez, Alejandra ; Jaimes, Natalia ; Caballero‐Uribe, Natalia ; González, Abel ; Terzian, Luiz Roberto ; Ocampo‐Candiani, Jorge ; Zuluaga, María Alejandra ; Garza‐Rodríguez, Verónica ; Tamayo‐Betancur, María Carolina ; Cuesta‐ Castro, Diana Paola ; Garcés, Joan Ramón ; Ruiz‐Salas, Verónica ; Goldberg, Leonard ; Kimyai‐Asadi, Arash</creatorcontrib><description>Background
The incidence of basal cell carcinoma (BCC) in younger individuals has increased in recent decades. However, the characteristics of BCCs in this population, especially in Ibero‐Latin American countries, have not been completely defined.
Objective
To describe the demographic, clinical, and histopathological characteristics of BCCs in patients younger than 40 treated with Mohs Micrographic Surgery (MMS).
Materials and Methods
A multicenter, retrospective study conducted between January 2009 and December 2014, in five Ibero‐American countries, included biopsy‐proven BCCs in patients younger than 40 that were treated with MMS. Demographic, clinical, histopathological, and surgical characteristics were described.
Results
The study included 301 tumors in 241 patients, of whom 61% were female. The most common Fitzpatrick phototype was III. The most common histological subtypes were nodular (37.5%) and infiltrative (18.9%). Perineural invasion was encountered in 1.7%, and tumor clearance was achieved in 87.4% within two stages of MMS.
Conclusions
This is the first Ibero‐Latin American transnational study describing the characteristics of BCCs in young patients treated with MMS. Despite darker skin phototypes in this population, BCCs can occur in early ages and may present with aggressive features. Therefore, MMS may be considered an appropriate first‐line treatment option in this population.</description><identifier>ISSN: 0011-9059</identifier><identifier>EISSN: 1365-4632</identifier><identifier>DOI: 10.1111/ijd.14195</identifier><identifier>PMID: 30168850</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Argentina ; Basal cell carcinoma ; Biopsy ; Brazil ; Carcinoma, Basal Cell - pathology ; Carcinoma, Basal Cell - surgery ; Carcinoma, Basal Cell - therapy ; Child ; Child, Preschool ; Colombia ; Demographics ; Facial Neoplasms - pathology ; Facial Neoplasms - surgery ; Facial Neoplasms - therapy ; Female ; Humans ; Infant ; Infant, Newborn ; Male ; Mexico ; Mohs Surgery ; Neoplasm Invasiveness ; Neoplasm Recurrence, Local - pathology ; Patients ; Retrospective Studies ; Skin ; Skin Neoplasms - pathology ; Skin Neoplasms - surgery ; Skin Neoplasms - therapy ; Skin Pigmentation ; Spain ; Surgery ; Tumors ; Young Adult</subject><ispartof>International journal of dermatology, 2018-12, Vol.57 (12), p.1447-1453</ispartof><rights>2018</rights><rights>2018 The International Society of Dermatology.</rights><rights>International Journal of Dermatology © 2018 International Society of Dermatology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3535-d512b3526ef9aea2d8726e322e0dfa577d66e6a4cab9fa8fc711c51d097a529f3</citedby><cites>FETCH-LOGICAL-c3535-d512b3526ef9aea2d8726e322e0dfa577d66e6a4cab9fa8fc711c51d097a529f3</cites><orcidid>0000-0001-5062-3757</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fijd.14195$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fijd.14195$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30168850$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aluma‐Tenorio, María Soledad</creatorcontrib><creatorcontrib>Ávila‐Álvarez, Alejandra</creatorcontrib><creatorcontrib>Jaimes, Natalia</creatorcontrib><creatorcontrib>Caballero‐Uribe, Natalia</creatorcontrib><creatorcontrib>González, Abel</creatorcontrib><creatorcontrib>Terzian, Luiz Roberto</creatorcontrib><creatorcontrib>Ocampo‐Candiani, Jorge</creatorcontrib><creatorcontrib>Zuluaga, María Alejandra</creatorcontrib><creatorcontrib>Garza‐Rodríguez, Verónica</creatorcontrib><creatorcontrib>Tamayo‐Betancur, María Carolina</creatorcontrib><creatorcontrib>Cuesta‐ Castro, Diana Paola</creatorcontrib><creatorcontrib>Garcés, Joan Ramón</creatorcontrib><creatorcontrib>Ruiz‐Salas, Verónica</creatorcontrib><creatorcontrib>Goldberg, Leonard</creatorcontrib><creatorcontrib>Kimyai‐Asadi, Arash</creatorcontrib><title>Basal cell carcinoma treated with Mohs micrographic surgery in young Ibero‐American patients</title><title>International journal of dermatology</title><addtitle>Int J Dermatol</addtitle><description>Background
The incidence of basal cell carcinoma (BCC) in younger individuals has increased in recent decades. However, the characteristics of BCCs in this population, especially in Ibero‐Latin American countries, have not been completely defined.
Objective
To describe the demographic, clinical, and histopathological characteristics of BCCs in patients younger than 40 treated with Mohs Micrographic Surgery (MMS).
Materials and Methods
A multicenter, retrospective study conducted between January 2009 and December 2014, in five Ibero‐American countries, included biopsy‐proven BCCs in patients younger than 40 that were treated with MMS. Demographic, clinical, histopathological, and surgical characteristics were described.
Results
The study included 301 tumors in 241 patients, of whom 61% were female. The most common Fitzpatrick phototype was III. The most common histological subtypes were nodular (37.5%) and infiltrative (18.9%). Perineural invasion was encountered in 1.7%, and tumor clearance was achieved in 87.4% within two stages of MMS.
Conclusions
This is the first Ibero‐Latin American transnational study describing the characteristics of BCCs in young patients treated with MMS. Despite darker skin phototypes in this population, BCCs can occur in early ages and may present with aggressive features. Therefore, MMS may be considered an appropriate first‐line treatment option in this population.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Argentina</subject><subject>Basal cell carcinoma</subject><subject>Biopsy</subject><subject>Brazil</subject><subject>Carcinoma, Basal Cell - pathology</subject><subject>Carcinoma, Basal Cell - surgery</subject><subject>Carcinoma, Basal Cell - therapy</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Colombia</subject><subject>Demographics</subject><subject>Facial Neoplasms - pathology</subject><subject>Facial Neoplasms - surgery</subject><subject>Facial Neoplasms - therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Mexico</subject><subject>Mohs Surgery</subject><subject>Neoplasm Invasiveness</subject><subject>Neoplasm Recurrence, Local - pathology</subject><subject>Patients</subject><subject>Retrospective Studies</subject><subject>Skin</subject><subject>Skin Neoplasms - pathology</subject><subject>Skin Neoplasms - surgery</subject><subject>Skin Neoplasms - therapy</subject><subject>Skin Pigmentation</subject><subject>Spain</subject><subject>Surgery</subject><subject>Tumors</subject><subject>Young Adult</subject><issn>0011-9059</issn><issn>1365-4632</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMtOwkAUhidGI4gufAEziRtdFObC9LJEvGEwbnRrc5iewhDa4kwbws5H8Bl9EgdBFyaexbkkX_6c_yfklLMu99Uz86zL-zxRe6TNZaiCfijFPmkzxnmQMJW0yJFzc39KwfuHpCUZD-NYsTZ5vQIHC6px4RtYbcqqAFpbhBozujL1jD5WM0cLo201tbCcGU1dY6do19SUdF015ZSOJmirz_ePQYHWaCjpEmqDZe2OyUEOC4cnu9khL7c3z8P7YPx0NxoOxoGWSqogU1xMpBIh5gkgiCyO_C6FQJbloKIoC0MMoa9hkuQQ5zriXCuesSQCJZJcdsjFVndpq7cGXZ0Wxm1MQYlV41LhnQvFQik9ev4HnVeNLf13G4orJWPOPHW5pbxt5yzm6dKaAuw65SzdhJ760NPv0D17tlNsJgVmv-RPyh7obYGVWeD6f6V09HC9lfwCDh6MMg</recordid><startdate>201812</startdate><enddate>201812</enddate><creator>Aluma‐Tenorio, María Soledad</creator><creator>Ávila‐Álvarez, Alejandra</creator><creator>Jaimes, Natalia</creator><creator>Caballero‐Uribe, Natalia</creator><creator>González, Abel</creator><creator>Terzian, Luiz Roberto</creator><creator>Ocampo‐Candiani, Jorge</creator><creator>Zuluaga, María Alejandra</creator><creator>Garza‐Rodríguez, Verónica</creator><creator>Tamayo‐Betancur, María Carolina</creator><creator>Cuesta‐ Castro, Diana Paola</creator><creator>Garcés, Joan Ramón</creator><creator>Ruiz‐Salas, Verónica</creator><creator>Goldberg, Leonard</creator><creator>Kimyai‐Asadi, Arash</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U7</scope><scope>C1K</scope><scope>H94</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5062-3757</orcidid></search><sort><creationdate>201812</creationdate><title>Basal cell carcinoma treated with Mohs micrographic surgery in young Ibero‐American patients</title><author>Aluma‐Tenorio, María Soledad ; Ávila‐Álvarez, Alejandra ; Jaimes, Natalia ; Caballero‐Uribe, Natalia ; González, Abel ; Terzian, Luiz Roberto ; Ocampo‐Candiani, Jorge ; Zuluaga, María Alejandra ; Garza‐Rodríguez, Verónica ; Tamayo‐Betancur, María Carolina ; Cuesta‐ Castro, Diana Paola ; Garcés, Joan Ramón ; Ruiz‐Salas, Verónica ; Goldberg, Leonard ; Kimyai‐Asadi, Arash</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3535-d512b3526ef9aea2d8726e322e0dfa577d66e6a4cab9fa8fc711c51d097a529f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Argentina</topic><topic>Basal cell carcinoma</topic><topic>Biopsy</topic><topic>Brazil</topic><topic>Carcinoma, Basal Cell - pathology</topic><topic>Carcinoma, Basal Cell - surgery</topic><topic>Carcinoma, Basal Cell - therapy</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Colombia</topic><topic>Demographics</topic><topic>Facial Neoplasms - pathology</topic><topic>Facial Neoplasms - surgery</topic><topic>Facial Neoplasms - therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Mexico</topic><topic>Mohs Surgery</topic><topic>Neoplasm Invasiveness</topic><topic>Neoplasm Recurrence, Local - pathology</topic><topic>Patients</topic><topic>Retrospective Studies</topic><topic>Skin</topic><topic>Skin Neoplasms - pathology</topic><topic>Skin Neoplasms - surgery</topic><topic>Skin Neoplasms - therapy</topic><topic>Skin Pigmentation</topic><topic>Spain</topic><topic>Surgery</topic><topic>Tumors</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aluma‐Tenorio, María Soledad</creatorcontrib><creatorcontrib>Ávila‐Álvarez, Alejandra</creatorcontrib><creatorcontrib>Jaimes, Natalia</creatorcontrib><creatorcontrib>Caballero‐Uribe, Natalia</creatorcontrib><creatorcontrib>González, Abel</creatorcontrib><creatorcontrib>Terzian, Luiz Roberto</creatorcontrib><creatorcontrib>Ocampo‐Candiani, Jorge</creatorcontrib><creatorcontrib>Zuluaga, María Alejandra</creatorcontrib><creatorcontrib>Garza‐Rodríguez, Verónica</creatorcontrib><creatorcontrib>Tamayo‐Betancur, María Carolina</creatorcontrib><creatorcontrib>Cuesta‐ Castro, Diana Paola</creatorcontrib><creatorcontrib>Garcés, Joan Ramón</creatorcontrib><creatorcontrib>Ruiz‐Salas, Verónica</creatorcontrib><creatorcontrib>Goldberg, Leonard</creatorcontrib><creatorcontrib>Kimyai‐Asadi, Arash</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aluma‐Tenorio, María Soledad</au><au>Ávila‐Álvarez, Alejandra</au><au>Jaimes, Natalia</au><au>Caballero‐Uribe, Natalia</au><au>González, Abel</au><au>Terzian, Luiz Roberto</au><au>Ocampo‐Candiani, Jorge</au><au>Zuluaga, María Alejandra</au><au>Garza‐Rodríguez, Verónica</au><au>Tamayo‐Betancur, María Carolina</au><au>Cuesta‐ Castro, Diana Paola</au><au>Garcés, Joan Ramón</au><au>Ruiz‐Salas, Verónica</au><au>Goldberg, Leonard</au><au>Kimyai‐Asadi, Arash</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Basal cell carcinoma treated with Mohs micrographic surgery in young Ibero‐American patients</atitle><jtitle>International journal of dermatology</jtitle><addtitle>Int J Dermatol</addtitle><date>2018-12</date><risdate>2018</risdate><volume>57</volume><issue>12</issue><spage>1447</spage><epage>1453</epage><pages>1447-1453</pages><issn>0011-9059</issn><eissn>1365-4632</eissn><abstract>Background
The incidence of basal cell carcinoma (BCC) in younger individuals has increased in recent decades. However, the characteristics of BCCs in this population, especially in Ibero‐Latin American countries, have not been completely defined.
Objective
To describe the demographic, clinical, and histopathological characteristics of BCCs in patients younger than 40 treated with Mohs Micrographic Surgery (MMS).
Materials and Methods
A multicenter, retrospective study conducted between January 2009 and December 2014, in five Ibero‐American countries, included biopsy‐proven BCCs in patients younger than 40 that were treated with MMS. Demographic, clinical, histopathological, and surgical characteristics were described.
Results
The study included 301 tumors in 241 patients, of whom 61% were female. The most common Fitzpatrick phototype was III. The most common histological subtypes were nodular (37.5%) and infiltrative (18.9%). Perineural invasion was encountered in 1.7%, and tumor clearance was achieved in 87.4% within two stages of MMS.
Conclusions
This is the first Ibero‐Latin American transnational study describing the characteristics of BCCs in young patients treated with MMS. Despite darker skin phototypes in this population, BCCs can occur in early ages and may present with aggressive features. Therefore, MMS may be considered an appropriate first‐line treatment option in this population.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>30168850</pmid><doi>10.1111/ijd.14195</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-5062-3757</orcidid></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adolescent Adult Argentina Basal cell carcinoma Biopsy Brazil Carcinoma, Basal Cell - pathology Carcinoma, Basal Cell - surgery Carcinoma, Basal Cell - therapy Child Child, Preschool Colombia Demographics Facial Neoplasms - pathology Facial Neoplasms - surgery Facial Neoplasms - therapy Female Humans Infant Infant, Newborn Male Mexico Mohs Surgery Neoplasm Invasiveness Neoplasm Recurrence, Local - pathology Patients Retrospective Studies Skin Skin Neoplasms - pathology Skin Neoplasms - surgery Skin Neoplasms - therapy Skin Pigmentation Spain Surgery Tumors Young Adult |
| title | Basal cell carcinoma treated with Mohs micrographic surgery in young Ibero‐American patients |
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