Baş ve boyun yerleşimli melanom dışı deri kanserlerinin tedavisinde mikrografik cerrahi.

Background and Design: Micrographic surgery is an intraoperative microscope-controlled surgery which aims at the excision of the entire tumor by achieving 100% control of the surgical margins with horizontal sectioning. In micrographic surgery, the healthy skin is preserved maximally due to the stepwise excision of the tumor using narrow margins. Due to its highest cure rates and maximal tissue preserving properties, it is the treatment of choice for high-risk non-melanoma skin cancers. Micrographic surgery is not routinely included in the dermatologic surgical procedures in Turkey. The aim of this study was to provide the availability of micrographic surgery for selected patients. Materials and Methods: During 2010-2015, 116 non-melanoma skin cancers that belong to 102 patients (53 male, 49 female) were treated with micrographic surgery. All tumors were located on the head or neck, and exhibiting at least one high-risk factor for recurrence. Micrographic surgery was performed with the Munich method between 2010 and 2013, and with Mohs surgery between 2013 and 2015. Results: The mean age of patients was 65.86±12.33 years (range: 33-90 years). The localization of the tumors was the head (n=112) and the neck (n=4). The number of micrographic surgery sessions to eliminate the tumor was 1 session for 55 (47.41%), 2 sessions for 55, and more than 2 sessions for 8 (6.89%) of the tumors. Six of the defects were left for secondary intention healing, 31 were repaired primarily and 13 defects were repaired with full thickness skin grafts whereas 66 were repaired with flaps. Conclusion: The results of this study showed that microscopic eradication of non-melanoma skin cancer necessitates more than one session for more than half of the cases, illuminating that microscopic extension of non-melanoma skin cancer beyond clinically apparent tumor is very likely. The results support that for tumors located on the head and neck where healthy skin should be preserved maximally for functional and cosmetic reasons, the use of micrographic surgery is a necessity. [ABSTRACT FROM AUTHOR]