Reducing the learning curve for the treatment of morphoeic (sclerosing) basal cell carcinoma of the face.
Details
Serval ID
serval:BIB_21EA8D5E8C6C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Reducing the learning curve for the treatment of morphoeic (sclerosing) basal cell carcinoma of the face.
Journal
Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
ISSN
0284-4311 (Print)
ISSN-L
0284-4311
Publication state
Published
Issued date
2008
Volume
42
Number
3
Pages
122-126
Language
english
Notes
Publication types: Journal Article ; Randomized Controlled Trial
Publication Status: ppublish
Publication Status: ppublish
Abstract
The treatment of morphoeic (or sclerosing) basal cell carcinoma (mBCC) of the face is associated with high rates of incomplete excision and recurrence. A principal risk factor for incomplete resection is the grade of surgeon. We did a prospective, randomised study of 40 consecutive patients with mBCC of the face. The extent of the tumour was assessed under standard conditions by consultant surgeons and compared with assessments by resident surgeons with the help of the Varioscope, a combination of microscope and loupe glasses with strong illumination and a maximal magnification of 7x. The data from a former retrospective study of all excisions of mBCC of the face during a five-year period at the hospital served as control. Residents with the support of the Varioscope achieved a rate of incomplete excisions similar to that of consultants under standard conditions. There was a significant reduction of the rate of incomplete resections by resident surgeons thanks to high magnification and good lighting (p=0.02). High magnification and good lighting were useful in learning how to recognise skin changes associated with mBCC of the face and achieving a low rate of incomplete excisions.
Keywords
Aged, Aged, 80 and over, Carcinoma, Basal Cell/surgery, Clinical Competence, Facial Neoplasms/surgery, Female, Humans, Internship and Residency, Male, Microsurgery/education, Microsurgery/methods, Neoplasm, Residual/prevention & control, Preoperative Care, Prospective Studies, Reconstructive Surgical Procedures/education, Skin Neoplasms/surgery
Pubmed
Web of science
Create date
13/03/2009 18:03
Last modification date
20/08/2019 13:58