Abstract
Background: The prevalence of skin cancer is consistently increasing recently, an hence a more comprehensive management is necessary for patients’ satisfaction. Generally, skin cancer is categorized into several histological types, including melanoma, basalioma, squamous cell carcinoma (SCC), and several other less common types such as keratoacanthoma, pyogenic granuloma, and Bechet disease. In dermatology, the intervention is limited which only consists of infiltrative anesthesia, no involvement of other organs, and no attachment to the underlying tissue. Therefore, random skin flap frequently becomes the preferred option that involves advancement, rotation, transposition, and interpolation flap. This study aims to investigate the profile of skin cancer and flap pattern among patients undergoing skin flaps procedure at Dermatology and Venereology Department of Sanglah General Hospital, Denpasar. Method: This study included all skin cancer patients who underwent skin flap surgery. Samples collection was performed retrospectively using patients’ medical records from January 2015 - December 2018. Results: Over the study period, there were a total of 41 skin cancer patients who underwent skin flap surgery of whom 10 (54.6%) patients were diagnosed with melanoma, 16 patients with basalioma, 9 patients with SCC and the remaining included 3 cases of acanthoma and 1 Bechet disease. Regarding the flap types, simple advancement and its variances were performed in 6 melanoma, 11 basaliomas, 5 SCC and 4 keratoacanthoma cases. Transposition flap was performed in 2 melanoma, 3 basalioma, and 3 SCC cases; whereas rotation flap was performed in 2 melanoma and 2 basaliomas and SCC cases.Conclusion: From 41 skin cancer patients discovered, basalioma was the most frequent cases and advancement techniques were the most frequently performed flap surgery. Only 1 post-surgical infection was found after rotational flap procedure.  Â
Highlights
Skin cancer can be classified into three main histological subtypes consisting of melanoma, basalioma, and squamous cell cancer (SCC) as well as several other uncommon subtypes such as keratoacanthoma, Bechet disease, and pyogenic granuloma
Local flaps where the skin flap is obtained from the adjacent tissue or surrounding the primary defect; the skin flap movements can be advancement, rotation, transposition or interpolation. Several examples of this flap type include V-Y, rhomboid flap, Z-plasty, O to Z, V to T, and many more.[10,11]. The results of this retrospective study using the data from January 2019 – December 2018 at dermatologic surgery division of Dermatology and Venereology Clinic, Sanglah General Hospital, Denpasar showed that a total of 41 skin cancer cases undergoing skin flap transplantation
Several flap types are frequently performed in dermatologic surgery by using local anesthesia only if the lesion is on close-knit with other body organs such as eye
Summary
Skin cancer can be classified into three main histological subtypes consisting of melanoma, basalioma, and squamous cell cancer (SCC) as well as several other uncommon subtypes such as keratoacanthoma, Bechet disease, and pyogenic granuloma. Skin cancer is categorized into several histological types, including melanoma, basalioma, squamous cell carcinoma (SCC), and several other less common types such as keratoacanthoma, pyogenic granuloma, and Bechet disease. Results: Over the study period, there were a total of 41 skin cancer patients who underwent skin flap surgery of whom 10 (54.6%) patients were diagnosed with melanoma, 16 patients with basalioma, 9 patients with SCC and the remaining included 3 cases of acanthoma and 1 Bechet disease. Conclusion: From 41 skin cancer patients discovered, basalioma was the most frequent cases and advancement techniques were the most frequently performed flap surgery. 1 post-surgical infection was found after rotational flap procedure
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