A clinical review of reconstructive techniques for patients with multiple skin cancers on the face

Kim, Geon Woo; Bae, Yong Chan; Bae, Sung Hwan; Nam, Su Bong; Lee, Dong Min

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자료유형: 학술저널

저자정보: Kim, Geon Woo (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) Bae, Yong Chan (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) Bae, Sung Hwan (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) Nam, Su Bong (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) Lee, Dong Min (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine)

저널정보: 대한두개안면성형외과학회 Archives of craniofacial surgery : ACFS Archives of craniofacial surgery : ACFS 제19권 제3호

발행연도: 2018.1

수록면: 194 - 199 (6page)

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Background: Cases of simultaneous multiple skin cancers in a single patient have become more common. Due to the multiplicity of lesions, reconstruction in such cases is more difficult than after a single lesion is removed. This study presents a series of patients with multiple facial skin cancers, with an analysis of the surgical removal, reconstruction process, and the results observed during follow-up. Methods: We reviewed 12 patients diagnosed with multiple skin cancers on the face between November 2004 and March 2016. The patients' medical records were retrospectively reviewed to identify the type of skin cancer, the site of onset, methods of surgical removal and reconstruction, complications, and recurrence during follow-up. Results: Nine patients had a single type of cancer occurring as multiple lesions, while three patients had different skin cancer types that occurred together. A total of 30 cancer sites were observed in the 12 patients. The most common cancer site was the nose. Thirteen defects were reconstructed with a flap, while 18 were reconstructed with skin grafting. The only complication was one case of recurrence of basal cell carcinoma. Conclusion: Multiple skin cancers are removed by performing Mohs micrographic surgery or wide excision, resulting in multiple defect sites. The authors emphasize the importance of thoroughly evaluating local lesions surrounding the initially-identified lesions or on other sites when reconstructing a large defect which can not be covered by primary closure. Furthermore, satisfactory results can be obtained by using various methods simultaneously regarding the condition of individual patients, the defect site and size, and the surgeon's preference.

#Skin neoplasms #Melanoma #Basal cell carcinoma #Mohs surgery

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