Resumen

NOVA, JOHN; PATINO, ANGÉLICA  y  GONZALEZ, ANDRÉS. Characteristics of patients with basal cell carcinoma in Centro Dermatológico Federico Lleras Acosta. CES Med. [online]. 2014, vol.28, n.2, pp.177-184. ISSN 0120-8705.

ABSTRACT Introduction: non melanoma skin cancer is the most frequent malignant tumor in humans, 80% of these tumors are basal cell carcinomas (BCC). Objectives: To characterize the population of patients with BCC, who consulted at Centro Dermatologico Federico Lleras Acosta in a time lapse of 3 years. Methods: we performed a descriptive study of all the BCC cases confirmed by biopsy, within a 3 years period. Information was obtained related to the socio-demographic characteristics, clinical and histological subtypes, and the time elapsed since the patient's detection of their lesion and histological confirmation of the tumor, until the definitive treatment was performed. Results: A total of 769 BCC cases were included in the study, 75% of the lesions were located on the face, neck and scalp. The most frequent clinical and histological subtype was nodular BCC (67 and 57% respectively), mixed histological subtypes were seen in 28% of the cases, 75% of them showed high risk features of tumor relapse. The time elapsed between the detection of the lesion by the patient and the first time consultation to a health service was 28 months. The time elapsed between the biopsy and the definitive treatment was 1 month. The most frequent treatment was conventional surgery (89%) followed by Mohs micrographic surgery (7%). Conclusions: The most frequent clinical and histological subtype was nodular BCC, mixed histological subtypes showed high risk features of tumor relapse in more than 50%, this confirm the importance to suspect a BCC and take a skin biopsy before treat the tumor. BCC patients tend to consult late to health services, with the consequent delay in the diagnosis and treatment

Palabras clave : Cutaneous neoplasms; Basal cell carcinoma; Colombia.

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