Percentage of Need to Reperform a Second Surgery after a Complete Gross Excision of Epithelial Skin Tumors in the Hospital of Skin Diseases

Abstract

Objective: Defining the percentage of incomplete excision of non melanotic epithelial cancers and the need for reperforming surgery.

Materials and Methods: The study sample is excised skin lesions in the patients following up in the Hospital of Skin Diseases 2015/2016 that had been proved by histopathology to be a basal cell carcinoma or a squamous cell carcinoma with defining excisional margins, these lesions reached 112, we studied and analyzed these lesions according to the type, histopathological characteristics and site of the tumor.

Results: The sample consisted of 73.2 percent /82/ cases of basal cell carcinoma, after studying the surgical excisional margins, the lower and lateral excisional margins were shown to be free in 74.4 percent of cases and affected in 25.6 percent of cases. Whereas squamous cell carcinomas reached 26.8 percent /30 cases/, after studying surgical excisional margins it was shown that lateral and lower margins were free in 66.7 percent of cases and affected in 33.3 percent of cases. The region of highest incomplete excision in basal cell carcinoma was the chin and labial regions 66.7 and 50 percent respectively. Whereas the region with highest incomplete excision in squamous cell carcinoma was the nose in 66.7 percent of cases. 

Conclusions: Traditional excision of epithelial skin cancers has a high risk of incomplete excision, which leads to recurrence, and boosting surgery by using deep frozen sections enables the surgeon of reaching a solution to the problem of wide excision with functional and cosmetic injury, as well as enabling us of complete excision of the tumor with safe margins in the least.