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Local recurrence risk in head and neck basal cell carcinoma

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Szewczyk M., Pazdrowski J., Pabiszczak M., Więckowska B., Dańczak-Pazdrowska A., Golusiński W.

Polish Journal of Otolaryngology

2022

vol. 76

issue 4

30-35

Introduction: Basal cell carcinoma (BCC) is the most common skin cancer. Aim: The aim of the study was to ascertain the risk factors of local recurrence in primary basal cell carcinoma of the head and neck. Material and methods: A retrospective analysis of 545 patients with head and neck primary basal cell carcinoma treated in years 2008–2018 was carried out. The following data was recorded: age, sex, tumor site, histological subtype, greatest dimension, margin status, experience of the operating surgeon and local recurrence. Results: Most of the tumors were located in the nose (165; 30.2%) and auricle (119; 21.8%). The most common pathological subtype was nodular (119; 21.8%). Three hundred and ninety-four tumors (72.2%) were under 20 mm in diameter. Positive surgical margins were noted in 107 (19.6%) cases. Local recurrence was observed in 52 (9.5%) cases, of which 29 (29/107; 27%) had positive surgical margins, in 23 (23/438; 5.2%) cases margins were free, which was the only statistically significant factor (p < 0.001; OR 6.71; CI 3.69–12.2). Conclusions: The results of our study have shown that positive surgical margin remains the strongest risk factor for local recurrence. With surgical excision being the gold standard of treatment, the greatest emphasis should be placed on avoiding such a scenario in high-risk patients.

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1 Polish Journal of Otolaryngology

1 2022

1 Dańczak-Pazdrowska A.

1 Golusiński W.

1 Pabiszczak M.

1 Pazdrowski J.

1 Szewczyk M.

1 Więckowska B.

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Local recurrence risk in head and neck basal cell carcinoma