Our Principles of Diagnosis and Treatment in Basal Cell Carcinoma

OBJECTIVE: In this study, authors aimed to retrospectivcely analyse the surgeries performed for basal cell carcinoma (BCC) in Ankara Oncology Hospital and they also aimed to settle the principles for diagnosis and treatment of BCC through the experiences gained.
METHODS: 7018 patients, excluding the trauma cases, were admitted to plastic, reconstructive and aesthetic surgery clinic between 2010 and 2012. 423 patients with the diagnosis of BCC were retrospectively reviewed by means of sex, age, symptom, location, type of surgery and recurrence.
RESULTS: The patients who were operated for BCC constituted 6% of the patients who admitted to Plastic and Reconstructive surgery clinic. 63.1% of the patients was male and 39.6% was female. 491 malignant tumor excisions were performed from the patients. It was seen that the lesions were most commonly located on head and neck region (89,2%). 26.2% of the patients was treated with excision and primary closure. 64.3% of the patients was treated with excision and local flap. 9.5% of the patients was treated with excision and grafting. Of the patients who were operated, 1.9% had recurrence and 9 patients were reoperated due to residual tumor.
CONCLUSION: Our study reflects the 2-year experience of our clinic. Early diagnosis and treatment are very important to prevent the spread of the lesions and to decrease the recurrence. We should always work in coordination with radiation oncology department. Executing these kind of studies provides standardization of the principles for the diagnosis and treatment.

Bazal Hücreli Karsinomada Taný ve Tedavi Prensiplerimiz

AMAÇ: Bu çalýþma ile Ankara Onkoloji Hastanesi'nde gerçekleþtirilen bazal hücreli karsinoma (BHK) ameliyatlarýný retrospektif olarak deðerlendirmek ve elde edilen deneyim sonucunda taný ve tedavi prensiplerini oluþturmak amaçlandý.
YÖNTEMLER: 2010-2012 yýllarý arasýnda plastik, rekonstrüktif ve estetik cerrahi polikliniðine, travma hastalarý hariç, 7018 hasta baþvurdu. BHK tanýsý ile ameliyat edilen 423 hastanýn dosyalarý ve patoloji raporlarý retrospektif olarak ve cinsiyet, yaþ, semptom, lokalizasyon, uygulanan cerrahi yöntem, rekürrens gibi deðiþkenler göz önüne alýnarak tarandý.
BULGULAR: BHK nedeniyle ameliyat edilen hastalar, plastik, rekonstrüktif ve estetik cerrahi polikliniðine baþvuran hastalarýn %6’sýný oluþturdular. Hastalarýn %63,1’i erkek, %36,9’u kadýndý. Ameliyat edilen hastalardan toplam 491 malign lezyon eksizyonu yapýldý. Lezyonlarýn en sýk baþ boyun bölgesinde yerleþtiði görüldü (%89,2). Hastalarýn %26,2’si eksizyon ve primer onarým ile, %64,3’ü eksizyon ve lokal flep ile, %9,5’i eksizyon ve greftleme ile tedavi edildi. Ameliyat sonrasý tüm hastalarýn %1,9’unda rekürrens saptandý ve 9 hasta rezidü tümör nedeniyle yeniden ameliyat edildi.
SONUÇ: Çalýþmamýz kliniðimizin 2 yýllýk tecrübesini yansýtmaktadýr. Erken taný ve tedavi lezyonlarýn yayýlýmýnýn engellenmesi ve rekürrensin azaltýlmasý açýsýndan çok önemlidir. Radyasyon onkolojisi bölümü ile koordinasyon halinde çalýþýlmalýdýr. Buna benzer çalýþmalarýn yapýlmasý, taný ve tedavi prensiplerinin standardize edilmesini saðlamaktadýr.