State of the art of Mohs surgery for rare cutaneous tumors in the Spanish Registry of Mohs Surgery (REGESMOHS)

被引：13

作者：

Rodriguez-Jimenez, Pedro ^{[1
]}

Jimenez, Yolanda D. ^{[1
,10
]}

Reolid, Alejandra ^{[1
]}

Sanmartin-Jimenez, Onofre ^{[2
]}

Garces, Joan R. ^{[3
,4
]}

Rodriguez-Prieto, Manuel A. ^{[5
]}

Medrano, Roman M. ^{[6
]}

Vilarrasa, Eva ^{[3
,4
]}

de Eusebio-Murillo, Esther ^{[7
]}

Redondo, Pedro ^{[8
]}

Ciudad-Blanco, Cristina ^{[9
,15
]}

Morales-Gordillo, Victoriano ^{[10
]}

Toll-Abello, Agusti ^{[11
]}

Artola-Igarza, Juan L. ^{[12
]}

Pacheco, Maria L. A. ^{[13
]}

Markixana, Irati A. ^{[14
]}

Fernandez, Ricardo S. ^{[15
]}

Rubio, Alberto A. ^{[16
]}

Vazquez-Veiga, Hugo ^{[17
]}

Florez-Menendez, Angeles ^{[18
]}

de la Cueva Dobao, Pablo ^{[19
]}

Botella-Estrada, Rafael ^{[20
]}

Garcia-Bracamonte, Beatriz ^{[21
]}

Carnero-Gonzalez, Lucia ^{[22
]}

Ruiz-Salas, Veronica ^{[3
]}

Sanchez-Sambucety, Pedro ^{[5
]}

Lopez-Estebaranz, Jose L. ^{[6
]}

Gil, Pilar ^{[8
]}

Barchino, Lucia ^{[9
]}

Arenal, Matias M. ^{[13
]}

Ocerin-Guerra, Izascun ^{[14
]}

Hueso, Luis ^{[16
]}

Seoane-Pose, Maria J. ^{[17
]}

Gonzalez-Sixto, Beatriz ^{[18
]}

Cano-Martinez, Natividad ^{[9
,19
]}

Escutia-Munoz, Begona ^{[20
]}

Ortiz-Romero, Pablo L. ^{[21
]}

Garcia-Doval, Ignacio ^{[23
,24
]}

Descalzo, Miguel A. ^{[24
]}

机构：

[1] Hosp Univ Princesa, Madrid, Spain

[2] Inst Valenciano Oncol, Valencia, Spain

[3] Hosp Santa Creu & Sant Pau, Barcelona, Spain

[4] Ctr Med Teknon, Barcelona, Spain

[5] Complejo Asistencial Univ Leon, Leon, Spain

[6] Hosp Univ Fdn Alcorcon, Madrid, Spain

[7] Complejo Hosp Univ Guadalajara, Guadalajara, Spain

[8] Clin Univ Navarra, Pamplona, Spain

[9] Hosp La Zarzuela, Madrid, Spain

[10] Hosp Univ Quiron Salud, Madrid, Spain

[11] Hosp del Mar, Barcelona, Spain

[12] Hosp Galdakao, Galdakao, Spain

[13] Hosp La Paz, Madrid, Spain

[14] Hosp Univ Cruces, Baracaldo, Spain

[15] Hosp Gregorio Maranon, Madrid, Spain

[16] Hosp Manises, Valencia, Spain

[17] Complexo Hosp Univ Santiago, Santiago de Compostela, Spain

[18] Complejo Univ Hosp Pontevedra, Pontevedra, Spain

[19] Hosp Infanta Leonor, Madrid, Spain

[20] Hosp Univ La Fe, Valencia, Spain

[21] Hosp Univ Doce Octubre, Madrid, Spain

[22] Hosp Univ Araba, Vitoria, Spain

[23] Complexo Hosp Univ Vigo, Vigo, Spain

[24] Acad Espanola Dermatol, Fdn Piel Sana, Madrid, Spain

来源：

INTERNATIONAL JOURNAL OF DERMATOLOGY | 2020年 / 59卷 / 03期

关键词：

MICROCYSTIC ADNEXAL CARCINOMA; MICROGRAPHIC SURGERY; CELL-CARCINOMA; SKIN; NONMELANOMA; AUSTRALIA; EXCISION;

D O I：

10.1111/ijd.14732

中图分类号：

R75 [皮肤病学与性病学];

学科分类号：

100206 ;

摘要：

Background The use of Mohs micrographic surgery (MMS) for rare cutaneous tumors is poorly defined. We aim to describe the demographics, tumor presentation and topography, surgery characteristics and complications of MMS for rare cutaneous tumors in a national registry. Methods Prospective cohort study of patients treated with MMS in Spain between July 2013 and June 2018. The inclusion criteria were patients with cutaneous tumors with final diagnosis different from basal cell carcinoma, squamous cell carcinoma, dermatofibrosarcoma protuberans, or any kind of melanoma. Results Five thousand and ninety patients were recorded in the registry, from which only 73 tumors (1.4%) fulfilled the inclusion criteria: atypical fibroxanthoma (18), microcystic adnexal carcinoma (10), extramammary Paget's disease (7), Merkel cell carcinoma (5), dermatofibroma (4), trichilemmal carcinoma (4), desmoplastic trichoepithelioma (4), sebaceous carcinoma (3), leiomyosarcoma (2), porocarcinoma (2), angiosarcoma (2), trichoblastoma (1), superficial acral fibromyxoma (1), and others (10). No intra-surgery morbidity was registered. Postsurgery complications appeared in six patients (9%) and were considered mild. Median follow-up time was 0.9 years during which three Merkel cell carcinomas, one angiosarcoma, one microcystic adnexal carcinoma, and four others recurred (12.3%). Conclusion This national registry shows that rare cutaneous tumors represent a negligible part of the total MMS performed in our country with a low complication rate.

引用

页码：321 / 325

页数：5

共 20 条

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