Biopsy type does not affect the number of stages during Mohs micrographic surgery: a retrospective study

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dc.catalogadoryvc
dc.contributor.authorAraneda Ortega, Paulina Belén
dc.contributor.authorDonoso Mena, Francisca
dc.contributor.authorCastro, Juan C.
dc.contributor.authorUribe González, Pablo Francisco
dc.contributor.authorRossi, Anthony M.
dc.contributor.authorHibler, Brian P.
dc.contributor.authorDroppelmann Droppelmann, Katherine Ann
dc.contributor.authorCárdenas De La Torre, Consuelo Paz
dc.contributor.authorNavarrete-Dechent, Cristian
dc.date.accessioned2023-11-14T21:27:03Z
dc.date.available2023-11-14T21:27:03Z
dc.date.issued2023
dc.description.abstractMohs micrographic surgery (MMS) is the treatment of choice for high-risk basal cell carcinoma (BCC). However, there are no evidence-based recommendations regarding which biopsy type is more appropriate to obtain tumour samples prior to MMS. Shave or punch biopsies are performed depending on the clinical characteristics of the tumour, surgeon experience and local protocols. However, biopsy type might result in difficult histopathological interpretation and influence the practical implementation of MMS. We performed a retrospective study on 208 consecutive BCCs treated with MMS. Of the 208 BCC biopsies, 42 (20.2%) were obtained by the shave method and 166 (79.8%) via punch. Those obtained with the shave technique had a mean of 1.64 stages vs. 1.69 stages with the punch technique (P = 0.130). These findings suggest biopsy type does not affect Mohs surgery performance. The biopsy type of choice is the one deemed adequate for each specific case to obtain a diagnosis and tumour subtyping., In this study including 208 primary basal cell carcinomas undergoing Mohs micrographic surgery (MMS), there were no differences in the mean number of stages, regardless of which biopsy type was performed (shave vs. punch). The biopsy technique might affect correct subtype identification; however, there were also no differences in the rate of upstaging. Any tissue reaction could also result in difficult histopathological interpretation on frozen sections; however, this was not evident in our study. It seems that biopsy type, shave vs. punch, does not affect MMS performance; thus the more appropriate biopsy type is the one deemed adequate for each specific case in order to obtain a diagnosis as well as tumour subtyping.
dc.fuente.origenWOS
dc.identifier.doi10.1093/ced/llad050
dc.identifier.eissn1365-2230
dc.identifier.issn0307-6938
dc.identifier.urihttps://doi.org/10.1093/ced/llad050
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/75308
dc.identifier.wosidWOS:000948403500001
dc.information.autorucEscuela de Medicina; Araneda Ortega, Paulina Belén; S/I; 1095645
dc.information.autorucEscuela de Medicina; Donoso Mena, Francisca; S/I; 247614
dc.information.autorucEscuela de Medicina; Uribe González, Pablo Francisco; S/I; 9032
dc.information.autorucEscuela de Medicina; Droppelmann Droppelmann, Katherine Ann; S/I; 151172
dc.information.autorucEscuela de Medicina; Cárdenas De La Torre, Consuelo Paz; S/I; 132739
dc.issue.numero6
dc.language.isoen
dc.nota.accesoContenido parcial
dc.pagina.final675
dc.pagina.inicio674
dc.publisherOxford University Press
dc.revistaCLINICAL AND EXPERIMENTAL DERMATOLOGY
dc.rightsacceso restringido
dc.subject.ddc620
dc.subject.deweyIngenieríaes_ES
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleBiopsy type does not affect the number of stages during Mohs micrographic surgery: a retrospective study
dc.typeartículo
dc.volumen48
sipa.codpersvinculados1095645
sipa.codpersvinculados247614
sipa.codpersvinculados9032
sipa.codpersvinculados151172
sipa.codpersvinculados132739
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