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[Facial skin cancers: Comparison of opinions in French multidisciplinary team meetings].

Authors :
Gallard C
Dinulescu M
Droitcourt C
Boussemart L
Adamski H
Rousseau C
Dupuy A
Source :
Annales de dermatologie et de venereologie [Ann Dermatol Venereol] 2020 Mar; Vol. 147 (3), pp. 179-187. Date of Electronic Publication: 2020 Jan 28.
Publication Year :
2020

Abstract

Background: The aim of our study was to evaluate the diversity, or homogeneity, of recommendations made in multidisciplinary team meetings (MTM) concerning the management of facial skin cancers in France, and to analyze the determinants thereof.<br />Patients and Methods: We contacted a panel of dermatology and ENT multidisciplinary teams (MDT) and collected their recommendations made at meetings regarding 3 clinical cases: squamous cell carcinoma in a renal transplant patient with an incomplete excision margin (case 1), locally advanced basal cell carcinoma (case 2), and lentigo maligna (case 3). The responses were analyzed globally and then based on 2 subgroups defined by the presence or absence of a dermatologist in the MTM. The effect of the makeup of the MTM (based on the presence of a dermatologist, a plastic surgeon, an oncologist and an ENT specialist) was evaluated for the main therapeutic proposals.<br />Results: The opinions of the 45 MDMs that responded to the survey were mixed for the three cases as regards important elements such as the indication of surgical revision for case 1, the proposal of an alternative treatment to surgery for case 2, and monitoring arrangements for case 3. Certain proposals were associated with the presence of a dermatologist in the MTM, such as discussion of adaptation of immunosuppressive treatment and details of the surgical margins to be applied for case 1, as well as simple monitoring and details of monitoring arrangements in case 3.<br />Conclusion: It is important to maintain dermatologists in MTMs on account of their expertise in all therapeutic areas concerning skin cancers.<br /> (Copyright © 2020 Elsevier Masson SAS. All rights reserved.)

Details

Language :
French
ISSN :
0151-9638
Volume :
147
Issue :
3
Database :
MEDLINE
Journal :
Annales de dermatologie et de venereologie
Publication Type :
Academic Journal
Accession number :
32005508
Full Text :
https://doi.org/10.1016/j.annder.2019.09.614