THE ANALYSIS OF DIMENSIONS AND THE RATE OF RECURRENCE OF BASAL CELL CARCINOMA OF PERIORBITAL REGION AFTER EXCISIONAL SURGERY
Journal Title: Acta Medica Medianae - Year 2004, Vol 43, Issue 2
Abstract
Basal cell carcinomas (BCC) of periorbital region are often seen in clinical practice and have a potential risk of local recurrence. This research has been done at the Surgery clinic in Nis - Department of plastic and reconstructive surgery and at the Pathology clinic. 101 patients who had surgery in period from 2000 to 2003, had been analysed. 12 patients had multiple located tumours, so the total number of observed tumours was 121. Tumours have been devided in two groups, depending if they are primary or recurrent: first group - primary tumours (n=111), second group - recurrent tumours (n=10). Patients with recurrent BCC were 56,7 years of age. It is significally less than in patients with primary BCC of periorbital region. They were 66,407 years of age (p=0,037). Ten tumours were recurrent (8,3%). The greatest number of recurrencies was on medial canthus (40%), then on upper eyelid (30%), on lower eyelid (20%), and on lateral canthus (10%). Tumours larger than 2cm in radius have predispositions to recurrence (p=0,01). There is a positive correlation between surface and thickness of tumours (p<1x10-6). There is a positive correlation between the depth of histologic layer to which tumour has penetrated and thickness of tumour (p=0,018). The average age of patients with recurrence is significally lower than average age of patients with the primar tumour. By defining size and location of BCCs of periorbital region, it is possible to predict biological behaviour of tumour
Authors and Affiliations
Irena Jankovic, Milan Visnjic, Dragan Mihailovic, Dimitrije Jankovic
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