Algorithm of skin malignancies therapy at Department of Plastic and Aesthetic Surfery in Brno and achieved results.

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216224%3A14110%2F24%3A00138842" target="_blank" >RIV/00216224:14110/24:00138842 - isvavai.cz</a>

Result on the web

<a href="https://acta-chirurgiae-plasticae.com/wp-content/uploads/2024/08/ACHP_2024_2-ferkodicova.pdf" target="_blank" >https://acta-chirurgiae-plasticae.com/wp-content/uploads/2024/08/ACHP_2024_2-ferkodicova.pdf</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.48095/ccachp202467" target="_blank" >10.48095/ccachp202467</a>

Result language

angličtina

Original language name

Algorithm of skin malignancies therapy at Department of Plastic and Aesthetic Surfery in Brno and achieved results.

Original language description

Introduction: Skin malignancy is one of the most common reasons for seeking out a plastic surgery clinic. This article presents an overview of the therapeutic results at Department of Plastic and Aesthetic Surgery Brno and includes an algorithm according to which we proceed in the treatment of patients with skin malignancy. Material and methods: Retrospective analysis of data for the year 2022, including a set of 791 patients with a total of 1,117 procedures to remove skin malignancy. The representation of cutaneous malignancy was as follows – basalioma (51%), squamous cell carcinoma (14%), and other malignancies including precancerous lesions were represented in 35%. Age, sex, a character and a number of procedures (excision, re-excision, controlled excision), and the histological results of resected specimens (with a sufficient margin or ingrowth) were evaluated. Based on the analysis of the patient cohort, an algorithm is presented to guide the surgical management of the patient. Results: Patients’ age ranged from 26 to 102 years. There was a discrete male predominance in the cohort (51%). Tumour localization was most frequently on the skin of the face, cleavage, and extremities. Regarding the spectrum of procedures, excision accounted for the largest proportion (83%). Re- excision accounted for the rest of the procedures (10%), controlled excision was performed in 6% and excisional biopsy accounted for 1%. Primary sanative excision with a histologically sufficient margin was performed in 96%. In the group of controlled excisions, 59% were sanative. Overall, 73% of patients in our cohort underwent a single operation only to remove a cutaneous malignancy. Conclusion: The results of the therapy and the algorithm of the care for patients with skin malignancy can be evaluated as successful based on the analysis performed. The determination of the surgical strategy according to the algorithm appears to be effective. The authors recommend its use in practice, especially with the current trend of the increasing incidence of skin malignancies and the desire to improve the effectiveness of surgical interventions.

Czech name

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Czech description

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Type

J_SC - Article in a specialist periodical, which is included in the SCOPUS database

CEP classification

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OECD FORD branch

30212 - Surgery

Project

—

Continuities

S - Specificky vyzkum na vysokych skolach

Publication year

2024

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Acta Chirurgiae Plasticae

ISSN

0001-5423

e-ISSN

1805-4404

Volume of the periodical

66

Issue of the periodical within the volume

2

Country of publishing house

CZ - CZECH REPUBLIC

Number of pages

6

Pages from-to

67-72

UT code for WoS article

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EID of the result in the Scopus database

2-s2.0-85202004514