Non-melanotic Tumors of the Eyelids Skin and Inner Corner – Basocellular Carcinoma
Authors:
A. Furdová 1; K. Horkovičová 2; P. .babál 2; D. Kobzová 2; M. Ondrušová 3
Authors place of work:
Klinika oftalmológie Lekárskej fakulty Univerzity Komenského a Univerzitná nemocnica, Nemocnica Ružinov, Bratislava, prednosta doc. MUDr. Vladimír Krásnik, PhD.
1; Ústav patologickej anatómie LFUK a UNB, Bratislava, prednosta prof. MUDr. Ľudovít Danihel, PhD.
2; VŠZaSP sv. Alžbety, Bratislava, a ÚEO SAV, Bratislava
3
Published in the journal:
Čes. a slov. Oftal., 71, 2015, No. 6, p. 293-301
Category:
Original Article
Summary
Aim:
Non-melanoma skin cancer cases in the European population are increasing. Basal cell carcinoma (BCC) is the most common non-melanoma skin cancer of the eyelids and in the inner corner of the eyelid. Due to the latest statistics compiled and published in 2008 in the Slovak Republic (SR) there were registered 5,173 cases of non-melanoma skin cancer (C44 according to ICD-10) in both sexes together (of which women accounted for 51.2 %). The proportion of non-melanoma skin cancer accounted for 17.2 % (16.3 % of men and 18 % of women) of the total number of all reported cancer cases (n = 30,144). The aim of this study is to evaluate the number of clinical relapses in a group of patients.
Material:
Retrospectively analyzed data from the medical records of patients with newly detected basal cell carcinoma in period between Jan. 1 2008 to Dec. 31 2013 who underwent surgery and outpatient follow-up at the Department of Ophthalmology and the University Hospital in Bratislava.
Methods:
The incidence of relapse was evaluated up to date Dec. 31 2014. We followed the following parameters: location and tumor size, TNM classification, histopathological degree of differentiation, the edges of excised tissue and evaluated recurrence rate separately for each parameter. Statistics were analyzed by chi2 test, which was found to be significant for P < 0.05. The results of continuous parameters were expressed as arithmetic mean ± standard deviation.
Results:
At the Department of Ophthalmology Faculty of Medicine and UNB, Ruzinov Hospital, in Bratislava, in the period 2008 - 2013 were treated 219 basal cell carcinomas in 217 patients and basal cell carcinoma was histologically confirmed. Basal cell carcinomas were divided into groups according to the stage: G1 (n = 139), G 1-2 (n = 41) and G 2 (n = 39). Localization was more frequent on left side (n = 112) compared to the right one (n = 107). We recorded significantly lower incidence (n = 5) in the area - angulus externus, prevalent occurrence was in the inner area - angulus internus (n = 65). The incidence in the lower eyelid (palpebra inferior) was recorded more frequently (n = 127) as in the upper eyelid (palpebra superior) - (n = 24). During these six years period we have seen 11 recurrences (5.02 %). Exenteration of the orbit was indicated in 5 cases (2.7 %).
Conclusion:
When monitoring patients with newly detected eyelid basal cell carcinoma, operated at the Department of Ophthalmology Faculty of Medicine and UNB in period 2008-2013, incidence of recurrence was recorded in 11 cases, accounting for 5.02 %, which is about one percentage point lower share than in the previous reporting period from period 2005 -2007 from the same Department. The occurrence of relapses corresponds to those in the literature. None of the clinical parameters statistically did affect significantly the incidence of relapses.
Key words:
eyelid basal cell carcinoma, non-melanoma skin cancer, tumors eyelashes
Zdroje
1. Ally, M.S., Aasi, S., Wysong, A., et al.: An investigator-initiated open-label clinical trial of vismodegib as a neoadjuvant to surgery for high-risk basal cell carcinoma. J Am Acad Dermatol. 2014 Nov;71(5):904-911.e1. doi: 10.1016/j.jaad.2014.05.020. Epub 2014 Jun 11.
2. Bath-Hextall, F., Bong, J., Perlina, W., et al.: Interventions for basal cell carcinoma of the skin: systematic rewiev. BMJ, 2004; 329(7468): 705–710.
3. Chang, A.L., Solomon, J.A., Hainsworth, J.D., et al.: Expanded access study of patients with advanced basal cell carcinoma treated with the Hedgehog pathway inhibitor, vismodegib. J Am Acad Dermatol, 2014 Jan;70(1): 60–9. doi: 10.1016/j.jaad.2013.09.012. Epub 2013 Nov 1.
4. Demirci, H., Worden, F., Nelson, CC., et al.: Efficacy of Vismodegib (Erivedge) for Basal Cell Carcinoma Involving the Orbit and Periocular Area. Ophthal Plast Reconstr Surg. 2015 Feb 11 [Epub ahead of print].
5. Dessinioti, C., Plaka, M., Stratigos, A.J.: Vismodegib for the treatment of basal cell carcinoma: results and implications of the ERIVANCE BCC trial. Future Oncol. 2014 May;10(6):927-36. doi: 10.2217/fon.14.50.
6. Ducasse, A., Pluot, M., Gotzamanis, A., et al.: Factors of recurrence of basal cell carcinomas of the eyelid. J Fr Ophthalmol, 2002; 25(5): 512–516.
7. Ferlay, J., Soerjomataram, I., Ervik M., et al.: GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11 [Internet]. Lyon, France: International Agency for Research on Cancer; 2013. Available from: http://globocan.iarc.fr, accessed on 05/01/2015.
8. Furdová, A.: Bazocelulárny karcinóm mihalníc. i-med.sk, 2012; „http://www.i-med.sk/moodle/form/?page=clanok&id=498&akcia=zakladne_info&route=}{page:clanok|id:498”
9. Furdová, A., Lukačko, P., Lederleitner, D.: HDR 192Ir brachyterapia v liečbe bazocelulárneho karcinómu dolnej mihalnice a vnútorného kútika oka – naše skúsenosti. Čes a Slov Oftal, 2013; 69(2): 75–79.
10. Furdová, A., Oláh, Z.: Nádory oka a okolitých štruktúr, CERM, Brno, 2010; 151 s.
11. Furdová, A., Strmeň, P., Oláh, Z.: Použitie TNM-klasifikácie v oftalmológii. Choroby hlavy a krku, Head and Neck Diseases. 2000; 2(9): 17–25.
12. Furdová, A., Svetlošáková, Z.: Bazaliómy v oblasti oka a mihalníc. Dermatológia pre prax, 2009; 3: 115–117.
13. Howard, G.R., Nerad, J.A., Carter, K.D., et al.: Clinical characteristics associated with orbital invasion of cutaneous basal cell and squamous cell tumors of the eyelid. Am J Ophthalmol, 1992; 113(2): 123–8.
14. Chynoranský, M., Furdová, A., Oláh, Z.: Exenterácie očnice. Čes. a Slov. Oftalmol., 1994; 50(2): 92–97.
15. Krásný, J., Novák, V., Otradovec, J.: Orbitální protéza po exenteraci očnice se zachováním víček a spojivkového vaku. Čes a Slov Oftal, 2006; 62(2): 94–99.
16. Leibowitch, I., McNab, A., Sullivan, T., et al.: Orbital Invasion by Periocular Basal Cell Carcinoma. Ophthalmology, 2005; 112: 717–723.
17. Mohs, R.E., Lathrop, T.G.: Modes of spread of cancer of skin. AMA Arch Derm Syphilol, 1952; 66: 427–439.
18. Nemet, A.Y., Deckel, Y., Martin, P.A., et al.: Management of periocular basal and squamous cell carcinoma: a series of 485 cases. Am J Ophthalmol, 2006; 142: 293–297.
19. Niazi, Z.B., Lamberti, B.G.: Perineural infiltration in basal cell carcinomas. Br J Plast Surg, 1993; 46: 156–157.
20. Ondrušová, M., Pleško, I., Safaei-Diba, Ch., et al.: Komplexná analýza výskytu a úmrtnosti na zhubné nádory v Slovenskej republike (online). Bratislava, Národný onkologický register SR, NCZI 2007. http: www.nor-sk.org. ISBN 978-80-89292-05-9.
21. Paavilainen, V., Tuominen, J., Aho, V.V., et al.: Long-term results after treatment of basal cell carcinoma of the eyelid in South-Western Finland. Eur J Ophthalmol, 2007; 17(4): 494–500.
22. Paavilainen, V., Tuominen, J., Pukkala, E., et al.: Basal cell carcinoma of the eyelid in Finland during 1953-97. Acta Ophthalmol Scand, 2005; 83(2): 215–220.
23. Safaei-Diba, Ch., Pleško, I. (eds.) Incidencia zhubných nádorov v Slovenskej republike 2008. Národný onkologický register SR, NCZI, Bratislava 2014. ISBN 978-80-89292-37-0.
24. Sigurdsson, H., Agnarsson, B.A.: Basal cell carcinoma of the eyelid. Risk of recurrence according to adequacy of surgical margins. Acta Ophthalmol Scand, 1998; 76(4): 477–480.
25. Svetlošáková Z., Halás M., Krásnik V., et al.: Výskyt recidív po chirurgickej liečbe bazaliómu kože mihalníc. Čes a Slov Oftal, 66, 2010, No. 4, p. 171–175.
26. Wilson, A.W., Howsam, G., Santhanam, V., et al.: Surgical management of incompletely excised basal cell carcinomas of the head and neck. Br J Oral Maxillofac Surg. 2004 Aug;42(4): 311–4.
Štítky
OphthalmologyČlánok vyšiel v časopise
Czech and Slovak Ophthalmology
2015 Číslo 6
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