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Initial Mohs surgery followed by planned surgical resection of massive cutaneous carcinomas of the head and neck.
Laryngoscope. 2009 Apr; 119(4):774-7.L

Abstract

OBJECTIVE

To review our experience with Mohs excision of massive cutaneous carcinomas for peripheral margin control, followed by planned definitive resection of the deeply invasive component of the carcinoma.

STUDY DESIGN

Retrospective review.

METHODS

All cases of massive (at least 10 cm in dimension) cutaneous carcinomas treated by the technique outlined by Yadranko Ducic from 1998-2006.

RESULTS

A total of 28 cases (7 squamous cell carcinomas, 14 basal cell carcinomas, 7 basosquamous carcinomas) were treated in this manner. Average maximal tumor dimension was 12.7 cm with a range of 10-21 cm. None of the patients recurred at the peripheral margin at an average follow-up of 3.2 years. There were a total of 7 local recurrences (5 squamous cell carcinoma and 2 basal cell carcinoma). All recurrences occurred within the deep resection bed.

CONCLUSIONS

The technique appears to be an excellent means of treatment of massive, neglected, and deeply invasive cutaneous carcinomas of the face and neck. It allows for more precise margin control than can be afforded by surgical pathology, decreases length of anesthesia, and enables the surgeon to more accurately plan the required reconstruction to review with the patient preoperatively.

Authors+Show Affiliations

Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas, USA. yducic@sbcglobal.netNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19205010

Citation

Ducic, Yadranko, et al. "Initial Mohs Surgery Followed By Planned Surgical Resection of Massive Cutaneous Carcinomas of the Head and Neck." The Laryngoscope, vol. 119, no. 4, 2009, pp. 774-7.
Ducic Y, Marra DE, Kennard C. Initial Mohs surgery followed by planned surgical resection of massive cutaneous carcinomas of the head and neck. Laryngoscope. 2009;119(4):774-7.
Ducic, Y., Marra, D. E., & Kennard, C. (2009). Initial Mohs surgery followed by planned surgical resection of massive cutaneous carcinomas of the head and neck. The Laryngoscope, 119(4), 774-7. https://doi.org/10.1002/lary.20096
Ducic Y, Marra DE, Kennard C. Initial Mohs Surgery Followed By Planned Surgical Resection of Massive Cutaneous Carcinomas of the Head and Neck. Laryngoscope. 2009;119(4):774-7. PubMed PMID: 19205010.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Initial Mohs surgery followed by planned surgical resection of massive cutaneous carcinomas of the head and neck. AU - Ducic,Yadranko, AU - Marra,Diego E, AU - Kennard,Charles, PY - 2009/2/11/entrez PY - 2009/2/11/pubmed PY - 2009/4/28/medline SP - 774 EP - 7 JF - The Laryngoscope JO - Laryngoscope VL - 119 IS - 4 N2 - OBJECTIVE: To review our experience with Mohs excision of massive cutaneous carcinomas for peripheral margin control, followed by planned definitive resection of the deeply invasive component of the carcinoma. STUDY DESIGN: Retrospective review. METHODS: All cases of massive (at least 10 cm in dimension) cutaneous carcinomas treated by the technique outlined by Yadranko Ducic from 1998-2006. RESULTS: A total of 28 cases (7 squamous cell carcinomas, 14 basal cell carcinomas, 7 basosquamous carcinomas) were treated in this manner. Average maximal tumor dimension was 12.7 cm with a range of 10-21 cm. None of the patients recurred at the peripheral margin at an average follow-up of 3.2 years. There were a total of 7 local recurrences (5 squamous cell carcinoma and 2 basal cell carcinoma). All recurrences occurred within the deep resection bed. CONCLUSIONS: The technique appears to be an excellent means of treatment of massive, neglected, and deeply invasive cutaneous carcinomas of the face and neck. It allows for more precise margin control than can be afforded by surgical pathology, decreases length of anesthesia, and enables the surgeon to more accurately plan the required reconstruction to review with the patient preoperatively. SN - 1531-4995 UR - https://www.unboundmedicine.com/medline/citation/19205010/Initial_Mohs_surgery_followed_by_planned_surgical_resection_of_massive_cutaneous_carcinomas_of_the_head_and_neck_ L2 - https://doi.org/10.1002/lary.20096 DB - PRIME DP - Unbound Medicine ER -