Cutaneous malignancies presenting in a private plastic surgery setup
Keywords:
Basal cell carcinoma, squamous cell carcinoma, cutaneous cancerAbstract
Objectives To know the frequency of cutaneous malignancies presenting in a private setup. Patients and methods The study was conducted in a private plastic surgery setup from 2006 to 2010 including all the patients presenting in the clinic with cutaneous malignancies. The history included the age, onset, duration and evolution of the lesion. The history of sunlight exposure and occupation was also noted. The diagnosis was confirmed by excision/wedge biopsies in all the cases. All the patients were managed according to the standard oncological principles. Results A total of 122 patients were included in the study. Majority of the patients were males (64.8%) with male to female ratio of 1.8:1. The mean age in male patients was 61.6 years as compared to 41.8 years in female patients. Majority of the male patients were farmers (48.1%). Only 6.3% of the males were office workers. Face (66.4%) was the most commonly affected area followed by leg. BCC was the commonest malignancy disclosed followed by SCC. The lesion underwent surgical procedures after excision including skin grafting, vacuum-assisted closure therapy and skin grafting, local and distant flap coverage depending on the situation. Conclusion The prime aim remains the early detection and diagnosis and prompt treatment to lessen the morbidity and mortality associated with these malignancies.References
Gloster HM Jr, Neal K. Skin cancer in skin of color. J Am Acad Dermatol 2006;55:741-60.
Kim KH, Geronemus RG. Mohs micrographic surgery. In: Thorne CH, Beasley RW, Aston SJ, Bartlett SP, Gunter GC, Spear SL, eds. Grabb and Smith’s Plastic Surgery. 6th ed. Philadelphia: Lippincott Williams and Wilkins; 2007. P. 115-9.
Mathes SJ, editor. Plastic Surgery. Philadelphia: Saunders Elsevier; 2006.
American Cancer Society. Cancer facts and figures 2007. Atlanta: American Cancer Society; 2007.
Lewis KG, Weinstock MA. Trends in non-melanoma skin cancer mortality rates in the United States, 1969 through 2000. J Invest Dermatol 2007;127:2323-7.
American Cancer Society. What are the key statistics about melanoma? www.cancer.org/doctoroot/.......melanoma accessed on 15-06-2011.
Koh HK, Geller AC, Miller DR, Lew RA. The early detection of and screening for melanoma. International status. Cancer 1995;75 (2 Suppl):674-83.
Marks R, Giles G. Trends in the incidence of non-melanocytic skin cancer (NMSC) treated in Australia in 1985 – 1995: Are primary prevention programs starting to have an effect? Int J Cancer 1998;78:144-8.
Sanchez CF. the relationship between the ozone layer and skin cancer. Rev Med Chil 2006;134:1185-90.
Din H, Saaiq M, Khan MI. Cutaneous malignancies: presentation and outcome in a plastic surgical unit. Ann Pak Inst Med Sci 2009;5:1-5.
Yasmeen N, Saeed S, Kanjee A, Sadiq S. A study of 75 cases of malignant skin tumors. J Pak Assoc Dermatol 2002;12:130-4.
Ahmed A, Alam MB, Khan W et al. Frequency and characteristics of skin cancers diagnosed at Ayub Medical College, Abbottabad Pakistan from 1995 – 2003. J Ayub Med Coll Abbottabad 2007:19:3-6.
Soomro FR, Bajaj DR, Pathan GM et al. Cutaneous malignant tumours: a profile of ten years at LINAR, Larkana, Pakistan. J Pak Assoc Dermatol 2010;20:133-6.
Baloch Q, Siyal AR, Abbasi SA, Zubairi BF. Pattern of malignant tumours of skin at Larkana. J Coll Physicians Surg Pak 2000;10:155-7.