Nasolabial skin cancer recurrence and incomplete excision: A five-year review

P. Moniz, D. Casal, J. Rosa

Research output: Contribution to journalReview articlepeer-review

Abstract

Although, basal-cell carcinoma (BCC) and squamous-cell carcinoma (SCC) can develop in any cutaneous area of the body, they are more often found in the sun-exposed areas of the head and neck. Among the skin cancers in these regions, the nasolabial skin tumours are relatively frequent. Several authors have shown that the rates of incomplete excisions, recur-rence and metastases to be higher with skin tumours in this location. The authors reviewed the clinical experience of the senior author at the Portuguese Ins-titute of Oncology in the treatment of patients with skin cancers of the nose and nasolabial junction, from the 1st January 1990 to the 31st December 1994. This resulted in the identifica-tion of 869 patients, of which 699 had a BCC (80%), 79 had a SCC (9%), and the remainder (11%) had rarer tumours. Patients' average age was 69.8 ± 15.4 years. Follow-up varied between 4 and 8 years, with a mean of 69.4 months. There were 192 patients with tumours in the nasolabial junction (24.7% of the total). Sur-prisingly, the rate of recurrence or incomplete excision was significantly smaller in the group of patients with tumours in the nasolabial junction than in the general population studied (6.3% vs. 14.0%; p < 0.001). The authors conclude that skin cancers in the nasolabial junction can be adequately trea-ted by aggressive and early surgical extirpation, preferably with intraoperative pathological examination of the ressected specimen and of the tumour bed. After excision, several recons-truction options are available to restore, as well as possible function and cosmesis.
Original languageEnglish
Pages (from-to)43-57
Number of pages15
JournalSkin Cancer
Volume25
Issue number2
Publication statusPublished - 2010

Keywords

  • Basal-cell carcinoma
  • Facial reconstruction
  • Nasolabial tumours
  • Recurrence
  • Skin cancer
  • Squamous-cell carcinoma
  • basal cell carcinoma
  • cancer recurrence
  • cancer surgery
  • follow up
  • hidradenoma
  • human
  • intraoperative period
  • melanoma
  • nasolabial skin cancer
  • nonhodgkin lymphoma
  • nose
  • patient identification
  • review
  • skin cancer
  • squamous cell carcinoma
  • trichoepithelioma

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