An Assessment of the Suitability of Mohs Micrographic Surgery in Patients Aged 90 years and Older

作者: DEBORAH F. MAC FARLANE , BOBBIE L. PUSTELNY , LEONARD H. GOLDBERG

DOI: 10.1111/J.1524-4725.1997.TB00067.X

关键词:

摘要: BACKGROUND One option for the treatment of cutaneous tumors in vent elderly has been simple observation. However, combination an increasing population and a concomitant high incidence skin cancer will make this problem more common. OBJECTIVE To assess suitability Mohs micrographic surgery as modality 90 years older age group. METHODS A group patients who underwent from January 1988 to August 1996 aged was identified, tumor type, site, comorbid medical conditions, medications, surgical complications were recorded. RESULTS total of106 basal cell carcinomas (BCCs), 33 squamous (SCC) six melanomas, one basosquamous carcinoma resected 115 with average 92.4 years. The overall ratio BCC/SCC 3.2 BCCs occurred most commonly on face; SCCs found frequently cheeks. Patients had 1.9 conditions took 2.3 regular medications. complication occurred. CONCLUSION . is safe effective therapy those over age.

参考文章(7)
MARK A. WARNER, MICHAEL P. HOSKING, CREIG M. LOBDELL, KENNETH P. OFFORD, L. JOSEPH MELTON, Surgical Procedures among Those ≥90 Years of Age: A Population-based Study in Olmsted County, Minnesota, 1975–1985 Annals of Surgery. ,vol. 207, pp. 380- 386 ,(1988) , 10.1097/00000658-198804000-00003
Silvia Franceschi, Fabio Levi, Lalao Randimbison, Carlo La Vecchia, Site distribution of different types of skin cancer: New aetiological clues International Journal of Cancer. ,vol. 67, pp. 24- 28 ,(1996) , 10.1002/(SICI)1097-0215(19960703)67:1<24::AID-IJC6>3.0.CO;2-1
JAMES A. YIANNIAS, L.H. GOLDBERG, SHELLY CARTER-CAMPBELL, MAX REDDICK, ROBERT M. CHAMBERLAIN, The ratio of basal cell carcinoma to squamous cell carcinoma in Houston, Texas The Journal of Dermatologic Surgery and Oncology. ,vol. 14, pp. 886- 889 ,(1988) , 10.1111/J.1524-4725.1988.TB03592.X
Robin Marks, George Rennie, ThomasS. Selwood, Malignant transformation of solar keratoses to squamous cell carcinoma. The Lancet. ,vol. 331, pp. 795- 797 ,(1988) , 10.1016/S0140-6736(88)91658-3
Andrew G. Glass, The Emerging Epidemic of Melanoma and Squamous Cell Skin Cancer JAMA: The Journal of the American Medical Association. ,vol. 262, pp. 2097- 2100 ,(1989) , 10.1001/JAMA.1989.03430150065027
R BENTON ADKINS, H WILLIAM SCOTT, Surgical procedures in patients aged 90 years and older. Southern Medical Journal. ,vol. 77, pp. 1357- 1364 ,(1984) , 10.1097/00007611-198411000-00003