CRYOSURGERY IN THE TREATMENT OF NON-MELANOMA SKIN CANCER OF THE EYELID AND PERIOCULAR AREA - RETROSPECTIVE ANALYSIS OF 78 CASES
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.29021/spdv.70.4.101 |
Resumo: | Introduction: Cryosurgery is a safe and effective treatment modality for non-melanoma skin cancers of the eyelids and periocular area, with a reported 5-year overall cure rate above 95%. Aim: Retrospective characterization of patients with non-melanoma skin cancer of eyelids and periocular regions diagnosed and treated with cryosurgery at our Department, between 1988 and 2004. Material and Methods: Review of the clinical records and statistical analysis of the following variables: age, sex, occupation, skin type, tumour characteristics, treatment modalities, aesthetic and functional outcomes and follow-up. Results: We treated 78 primary malignant neoplasms, in 78 Caucasian patients, 30 men and 48 women with a mean age of 75.5 years. Seventy-six of the seventy-eight tumours (97.4%) were nodular basal cell carcinoma (BCCs) and two were (2.6%) squamous cell carcinomas. More than half of the tumours were loca- ted in the inner canthus. Fractional cryosurgery was used in 52 cases (66.7%), conventional cryosurgery in 17 (21.8%) and segmental cryosurgery in nine (11.5%). The mean follow-up was 5 years with two relapses observed. There were no functional complications and the cosmetic results were excellent. The overall cure rate was of 97.4%. Conclusions: Fractional cryosurgery was the most used procedure. We achieved excellent functional and aesthetic results and a 97% five-year cure rate.KEYWORDS – Eyelid neoplasms; Cryosurgery; Carcinoma, Basal cell; Carcinoma, Squamous cell; Skin neoplasms. |
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CRYOSURGERY IN THE TREATMENT OF NON-MELANOMA SKIN CANCER OF THE EYELID AND PERIOCULAR AREA - RETROSPECTIVE ANALYSIS OF 78 CASESCRIOCIRURGIA NO TRATAMENTO DE CANCRO CUTÂNEO NÃO-MELANOMA PALPEBRAL E PERIOCULAR – ANÁLISE RETROSPETIVA DE 78 CASOSIntroduction: Cryosurgery is a safe and effective treatment modality for non-melanoma skin cancers of the eyelids and periocular area, with a reported 5-year overall cure rate above 95%. Aim: Retrospective characterization of patients with non-melanoma skin cancer of eyelids and periocular regions diagnosed and treated with cryosurgery at our Department, between 1988 and 2004. Material and Methods: Review of the clinical records and statistical analysis of the following variables: age, sex, occupation, skin type, tumour characteristics, treatment modalities, aesthetic and functional outcomes and follow-up. Results: We treated 78 primary malignant neoplasms, in 78 Caucasian patients, 30 men and 48 women with a mean age of 75.5 years. Seventy-six of the seventy-eight tumours (97.4%) were nodular basal cell carcinoma (BCCs) and two were (2.6%) squamous cell carcinomas. More than half of the tumours were loca- ted in the inner canthus. Fractional cryosurgery was used in 52 cases (66.7%), conventional cryosurgery in 17 (21.8%) and segmental cryosurgery in nine (11.5%). The mean follow-up was 5 years with two relapses observed. There were no functional complications and the cosmetic results were excellent. The overall cure rate was of 97.4%. Conclusions: Fractional cryosurgery was the most used procedure. We achieved excellent functional and aesthetic results and a 97% five-year cure rate.KEYWORDS – Eyelid neoplasms; Cryosurgery; Carcinoma, Basal cell; Carcinoma, Squamous cell; Skin neoplasms. Introdução: A criocirurgia é um método seguro e eficaz no tratamento do cancro cutâneo não-melanoma das pálpebras e áreas perioculares, com uma taxa de cura aos 5 anos superior a 95%. Objetivo: Caracterização retrospetiva dos casos de cancro cutâneo não-melanoma palpebrais e perioculares diagnosticados e tratados com a criocirurgia no nosso Serviço, entre 1988 e 2004. Material e Métodos: Revisão dos processos clínicos e análise esta- tística das seguintes variáveis: idade, sexo, profissão, fototipo, características do tumor, modalidades de tratamento, resultados estéticos e funcionais e seguimento. Resultados: Foram tratados 78 neoplasias malignas primárias, em 78 pacientes, sendo 30 homens e 48 mulheres, com idade média de 75,5 anos. Setenta e seis dos tumores (97,4%) eram carcinoma de basocelular e dois (2,6%) carcinomas espinocelular. Mais de metade dos tumores localizava-se no canto interno do olho. A Criocirurgia fracionada foi usada em 52 casos (66,7%), a criocirurgia convencional em 17 (21,8%) e a criocirurgia segmentada em nove (11,5%). A média de seguimento foi de 5 anos, tendo ocorrido com duas recidivas locais. Não houve complicações funcionais e os resultados estéticos foram excelentes. A taxa de cura global foi de 97,4%. Conclusões: A criocirurgia fracionada foi o procedimento mais utilizado. Obtivemos excelentes resultados estéticos e funcionais e uma taxa de cura aos 5 anos de 97% cinco anos. PALAVRAS-CHAVE – Neoplasias das pálpebras; Criocirurgia; Carcinoma basocelular; Carcinoma espinocelular. Sociedade Portuguesa de Dermatologia e Venereologia2013-04-20T00:00:00Zjournal articleinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://doi.org/10.29021/spdv.70.4.101oai:ojs.revista.spdv.com.pt:article/101Journal of the Portuguese Society of Dermatology and Venereology; Vol 70 No 4 (2012): Outubro-Dezembro; 475-482Revista da Sociedade Portuguesa de Dermatologia e Venereologia; v. 70 n. 4 (2012): Outubro-Dezembro; 475-4822182-24092182-2395reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://revista.spdv.com.pt/index.php/spdv/article/view/101https://doi.org/10.29021/spdv.70.4.101https://revista.spdv.com.pt/index.php/spdv/article/view/101/98Tavares, ErmelindoGonçalves, J. C. AlmeidaAranha, Joãoinfo:eu-repo/semantics/openAccess2022-10-06T12:34:40Zoai:ojs.revista.spdv.com.pt:article/101Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:10:41.456082Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
CRYOSURGERY IN THE TREATMENT OF NON-MELANOMA SKIN CANCER OF THE EYELID AND PERIOCULAR AREA - RETROSPECTIVE ANALYSIS OF 78 CASES CRIOCIRURGIA NO TRATAMENTO DE CANCRO CUTÂNEO NÃO-MELANOMA PALPEBRAL E PERIOCULAR – ANÁLISE RETROSPETIVA DE 78 CASOS |
title |
CRYOSURGERY IN THE TREATMENT OF NON-MELANOMA SKIN CANCER OF THE EYELID AND PERIOCULAR AREA - RETROSPECTIVE ANALYSIS OF 78 CASES |
spellingShingle |
CRYOSURGERY IN THE TREATMENT OF NON-MELANOMA SKIN CANCER OF THE EYELID AND PERIOCULAR AREA - RETROSPECTIVE ANALYSIS OF 78 CASES Tavares, Ermelindo |
title_short |
CRYOSURGERY IN THE TREATMENT OF NON-MELANOMA SKIN CANCER OF THE EYELID AND PERIOCULAR AREA - RETROSPECTIVE ANALYSIS OF 78 CASES |
title_full |
CRYOSURGERY IN THE TREATMENT OF NON-MELANOMA SKIN CANCER OF THE EYELID AND PERIOCULAR AREA - RETROSPECTIVE ANALYSIS OF 78 CASES |
title_fullStr |
CRYOSURGERY IN THE TREATMENT OF NON-MELANOMA SKIN CANCER OF THE EYELID AND PERIOCULAR AREA - RETROSPECTIVE ANALYSIS OF 78 CASES |
title_full_unstemmed |
CRYOSURGERY IN THE TREATMENT OF NON-MELANOMA SKIN CANCER OF THE EYELID AND PERIOCULAR AREA - RETROSPECTIVE ANALYSIS OF 78 CASES |
title_sort |
CRYOSURGERY IN THE TREATMENT OF NON-MELANOMA SKIN CANCER OF THE EYELID AND PERIOCULAR AREA - RETROSPECTIVE ANALYSIS OF 78 CASES |
author |
Tavares, Ermelindo |
author_facet |
Tavares, Ermelindo Gonçalves, J. C. Almeida Aranha, João |
author_role |
author |
author2 |
Gonçalves, J. C. Almeida Aranha, João |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Tavares, Ermelindo Gonçalves, J. C. Almeida Aranha, João |
description |
Introduction: Cryosurgery is a safe and effective treatment modality for non-melanoma skin cancers of the eyelids and periocular area, with a reported 5-year overall cure rate above 95%. Aim: Retrospective characterization of patients with non-melanoma skin cancer of eyelids and periocular regions diagnosed and treated with cryosurgery at our Department, between 1988 and 2004. Material and Methods: Review of the clinical records and statistical analysis of the following variables: age, sex, occupation, skin type, tumour characteristics, treatment modalities, aesthetic and functional outcomes and follow-up. Results: We treated 78 primary malignant neoplasms, in 78 Caucasian patients, 30 men and 48 women with a mean age of 75.5 years. Seventy-six of the seventy-eight tumours (97.4%) were nodular basal cell carcinoma (BCCs) and two were (2.6%) squamous cell carcinomas. More than half of the tumours were loca- ted in the inner canthus. Fractional cryosurgery was used in 52 cases (66.7%), conventional cryosurgery in 17 (21.8%) and segmental cryosurgery in nine (11.5%). The mean follow-up was 5 years with two relapses observed. There were no functional complications and the cosmetic results were excellent. The overall cure rate was of 97.4%. Conclusions: Fractional cryosurgery was the most used procedure. We achieved excellent functional and aesthetic results and a 97% five-year cure rate.KEYWORDS – Eyelid neoplasms; Cryosurgery; Carcinoma, Basal cell; Carcinoma, Squamous cell; Skin neoplasms. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-04-20T00:00:00Z |
dc.type.driver.fl_str_mv |
journal article info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.29021/spdv.70.4.101 oai:ojs.revista.spdv.com.pt:article/101 |
url |
https://doi.org/10.29021/spdv.70.4.101 |
identifier_str_mv |
oai:ojs.revista.spdv.com.pt:article/101 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://revista.spdv.com.pt/index.php/spdv/article/view/101 https://doi.org/10.29021/spdv.70.4.101 https://revista.spdv.com.pt/index.php/spdv/article/view/101/98 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Sociedade Portuguesa de Dermatologia e Venereologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Dermatologia e Venereologia |
dc.source.none.fl_str_mv |
Journal of the Portuguese Society of Dermatology and Venereology; Vol 70 No 4 (2012): Outubro-Dezembro; 475-482 Revista da Sociedade Portuguesa de Dermatologia e Venereologia; v. 70 n. 4 (2012): Outubro-Dezembro; 475-482 2182-2409 2182-2395 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799130563476455424 |