Evidence map›Paper›PMID 32711927›Full record

ArticleAnais brasileiros de dermatologia

Outcome of staged excision with pathologic margin control in high-risk basal cell carcinoma of the head region.

Reza Kavoussi, Hossein Kavoussi, Ali Ebrahimi, Nader Salari, Seyed Hamid Madani

Open access · goldAbstract read
In one paragraph

Article in Anais brasileiros de dermatologia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 40% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Reza KavoussiDepartment of Dermatology, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Hossein KavoussiDepartment of Dermatology, Kermanshah University of Medical Sciences, Kermanshah, Iran. Electronic address: hkawosi@kums.ac.ir.
Ali EbrahimiDepartment of Dermatology, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Nader SalariSchool of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Seyed Hamid MadaniDepartment of Pathology, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Kermanshah University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh-risk basal cell carcinoma involves a significant rate of basal cell carcinoma that requires Mohs micrographic surgery for definitive treatment. Staged excision with pathologic margin control is a simple, accessible, and curative procedure suggested for the treatment of high-risk basal cell carcinoma.

objectiveTo evaluate the results of staged excision of high-risk basal cell carcinoma in the head region.

methodsThis interventional study was performed on patients with high-risk basal cell carcinoma, who underwent staged excision until the margins were free of tumor.

resultsA total of 122 patients (47 females and 75 males) with mean age of 57.66 ± 9.13 years were recruited in this study. Nasal and nodular types were the most common of both clinical and pathologic forms, respectively. Further, 89.3 % of cases were cured by staged excision after four years of follow-up. There was a significant relationship between treatment outcomes and recurrent lesions, multiplicity of risk factors, long-standing disease, and pathologic type. There was also a significant association between the number of surgical excisions and multiplicity of risk factors, as well as recurrence, location, and size of basal cell carcinoma. STUDY LIMITATIONS: Lack of magnetic resonance imaging assessment in cases of suspected perineural invasion.

conclusionsHigh-risk basal cell carcinoma had a high cure rate by staged excision. Patients with more risk factors and those with nasal and recurrent basal cell carcinoma required more staged excisions. Failure of treatment is more probable in patients with more risk factors, long-standing lesions, and high-risk pathologic and recurrent basal cell carcinomas.

Indexed as

Basal Cell CarcinomaHead and Neck NeoplasmsSkin NeoplasmsAgedFemaleHumansMaleMiddle AgedMohs SurgeryNeoplasm Recurrence, LocalTreatment OutcomeMohs surgeryPathologySkin neoplasms

Identifiers

PMID32711927
PMCPMC7563009
OpenAlexW3041956985

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.