Abstract
This paper consists of a retrospective study that includes a total of 186 cases with facial skin tumors diagnosed and treated between January 2015 and December 2017. Our aim was to correlate the initial clinical diagnosis with the histological results, in order to observe the success rate of our clinical experience, but also to underline that certain clinical tumor aspects can be misleading as the histological findings can result in different final diagnostics. From the total number of cases, we counted a total of 226 tumors (both benign and malignant), from which 194 had the clinical diagnosis confirmed by the anatomopathological exam and 34 had a different laboratory result from the clinical presumption: 10 benign tumors and 22 malignant tumors (eight BCC and 14 SCC, 12 of the latter being confused with ulcerovegetant BCC). Detailed correlation data were presented, as well as different situations of incongruence between the clinical and the histological diagnosis. The long-term goal of the study was to use our experience of correlating the clinical and the histological diagnosis, in order to improve the existing knowledge on the clinical differential diagnosis of both malignant and benign facial skin tumors.
Highlights
Skin cancer represents the most frequent type of cancer in the Caucasian population.Non-melanoma skin cancers (NMSCs) are widely spread, with increasing incidence and represent a pleomorphic group, both clinically and histologically, compared to malignant melanoma (MM) where using the classical evaluation of ABCDE, a correct diagnosis can be made 97% of the time, solely by clinical means.NMSCs comprise all the non-melanoma malignant skin tumors, of which 99% are represented by keratinocyte carcinomas, namely basal (BCC) and squamous cell carcinoma (SCC) [1].NMSCs constitute the largest group tumors addressed by plastic surgeons, either for excision or for reconstructive purposes
NMSCs consist of basal cell carcinoma (BCC), cutaneous squamous cell carcinoma (CSCC) and Bowen’s disease
We described the various types of benign tumors and the correspondence between the clinical and the histological diagnosis
Summary
Skin cancer represents the most frequent type of cancer in the Caucasian population.Non-melanoma skin cancers (NMSCs) are widely spread, with increasing incidence and represent a pleomorphic group, both clinically and histologically, compared to malignant melanoma (MM) where using the classical evaluation of ABCDE, a correct diagnosis can be made 97% of the time, solely by clinical means.NMSCs comprise all the non-melanoma malignant skin tumors, of which 99% are represented by keratinocyte carcinomas, namely basal (BCC) and squamous cell carcinoma (SCC) [1].NMSCs constitute the largest group tumors addressed by plastic surgeons, either for excision or for reconstructive purposes. Skin cancer represents the most frequent type of cancer in the Caucasian population. Non-melanoma skin cancers (NMSCs) are widely spread, with increasing incidence and represent a pleomorphic group, both clinically and histologically, compared to malignant melanoma (MM) where using the classical evaluation of ABCDE, a correct diagnosis can be made 97% of the time, solely by clinical means. NMSCs comprise all the non-melanoma malignant skin tumors, of which 99% are represented by keratinocyte carcinomas, namely basal (BCC) and squamous cell carcinoma (SCC) [1]. NMSCs constitute the largest group tumors addressed by plastic surgeons, either for excision or for reconstructive purposes. NMSCs consist of basal cell carcinoma (BCC), cutaneous squamous cell carcinoma (CSCC) and Bowen’s disease. The high number of NMSC cases pose economic questions regarding spending and loss. Gender, ultraviolet light, fair skin, ionizing radiation, immunosuppression, previous skin cancer or premalignant lesions are common associated risk factors
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