Acta Medica Medianae (Apr 2004)
THE ANALYSIS OF DIMENSIONS AND THE RATE OF RECURRENCE OF BASAL CELL CARCINOMA OF PERIORBITAL REGION AFTER EXCISIONAL SURGER
Abstract
Basal cell carcinomas (BCC) of periorbital region are often seen in clinical practice and have a potential risk of local recurrence.This research has been done at the Surgery clinic in Nis - Department of plastic and reconstructive surgery and at the Pathology clinic. 101 patients who had surgery in period from 2000 to 2003, had been analysed. 12 patients had multiple locatcd tumours, so the total numbcr of observed tumours was 121. Tumours have been devided in two groups, depending if they are primary or recurrent: first group - primary tumours (n=l 11), second group - recurrent tumours (n=10).Patients with recurrent BCC were 56,7 years of age. It is significally less than in patients with primary BCC of periorbital region. They were 66,407 years of age (p=0,037). Ten tumours were recurrent (8,3%). The greatest number of recurrencies vvas on medial canthus (40%), then on uppcr eyelid (30%), on lower eyelid (20%), and on lateral canthus (10%). Tumours larger than 2cm in radius have predispositions to recurrence (p=0,01). There is a positive corrclation between surface and thickncss of tumours (p<lx!06). There is a positive correlation betvveen the depth of histologic layer to which tumour has penetrated and thickness of tumour (p=0,018).The average age of patients with recurrence is significally lower than average age of patients with the primar tumour. By defining siže and location of BCCs of periorbital region, it is possible to predict biological behaviour of tumour.
