Same Day Biopsy and Treatment of Non-Melanoma Skin Cancer in Patients with Field Cancerization: A Retrospective Chart Study

Background. Patients with field cancerization will develop numerous superficial non-melanoma skin cancers (NMSCs). Treating patients with field cancerization can be challenging and burdensome due to the numerous non-melanoma skin cancers (NMSCs) they develop and the frequent dermatology visits requi...

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Main Authors: Jonathan Miles, Camila Luis-Gronau, Estefania Cruzval-O’Reilly, Aida Lugo-Somolinos, Puneet S. Jolly
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Journal of Skin Cancer
Online Access:http://dx.doi.org/10.1155/2023/9990046
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author Jonathan Miles
Camila Luis-Gronau
Estefania Cruzval-O’Reilly
Aida Lugo-Somolinos
Puneet S. Jolly
author_facet Jonathan Miles
Camila Luis-Gronau
Estefania Cruzval-O’Reilly
Aida Lugo-Somolinos
Puneet S. Jolly
author_sort Jonathan Miles
collection DOAJ
description Background. Patients with field cancerization will develop numerous superficial non-melanoma skin cancers (NMSCs). Treating patients with field cancerization can be challenging and burdensome due to the numerous non-melanoma skin cancers (NMSCs) they develop and the frequent dermatology visits required for biopsy and treatment. Objective. The success rate of diagnosing and treating lesions suspicious for NMSCs on the same day is measured, immediately after biopsy. Methods. We retrospectively reviewed records of patients with same day lesion diagnosis and curettage treatment to determine diagnostic accuracy, treatment failure, and number needed to treat to reduce a follow-up treatment. Results. A total of 237 lesions underwent same day biopsy and treatment, of which the majority were NMSC (66%) or actinic keratosis (23%). Patients had at least 3 months and a median of 17 months follow-up. A total of 20 lesions either recurred or were deemed to require additional treatment. The number needed to treat (NNT) to prevent one follow-up treatment was 1.3. Limitations: sample size limited ability to determine risk factors for treatment failure. Conclusion. Simultaneous diagnosis and treatment of superficial NMSCs is a successful way of improving efficiency and patient satisfaction.
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spelling doaj-art-6a69c19f12b54080a9d38f0e4812d58d2025-02-03T06:05:04ZengWileyJournal of Skin Cancer2090-29132023-01-01202310.1155/2023/9990046Same Day Biopsy and Treatment of Non-Melanoma Skin Cancer in Patients with Field Cancerization: A Retrospective Chart StudyJonathan Miles0Camila Luis-Gronau1Estefania Cruzval-O’Reilly2Aida Lugo-Somolinos3Puneet S. Jolly4Department of DermatologyDepartment of DermatologyDepartment of DermatologyDepartment of DermatologyDepartment of DermatologyBackground. Patients with field cancerization will develop numerous superficial non-melanoma skin cancers (NMSCs). Treating patients with field cancerization can be challenging and burdensome due to the numerous non-melanoma skin cancers (NMSCs) they develop and the frequent dermatology visits required for biopsy and treatment. Objective. The success rate of diagnosing and treating lesions suspicious for NMSCs on the same day is measured, immediately after biopsy. Methods. We retrospectively reviewed records of patients with same day lesion diagnosis and curettage treatment to determine diagnostic accuracy, treatment failure, and number needed to treat to reduce a follow-up treatment. Results. A total of 237 lesions underwent same day biopsy and treatment, of which the majority were NMSC (66%) or actinic keratosis (23%). Patients had at least 3 months and a median of 17 months follow-up. A total of 20 lesions either recurred or were deemed to require additional treatment. The number needed to treat (NNT) to prevent one follow-up treatment was 1.3. Limitations: sample size limited ability to determine risk factors for treatment failure. Conclusion. Simultaneous diagnosis and treatment of superficial NMSCs is a successful way of improving efficiency and patient satisfaction.http://dx.doi.org/10.1155/2023/9990046
spellingShingle Jonathan Miles
Camila Luis-Gronau
Estefania Cruzval-O’Reilly
Aida Lugo-Somolinos
Puneet S. Jolly
Same Day Biopsy and Treatment of Non-Melanoma Skin Cancer in Patients with Field Cancerization: A Retrospective Chart Study
Journal of Skin Cancer
title Same Day Biopsy and Treatment of Non-Melanoma Skin Cancer in Patients with Field Cancerization: A Retrospective Chart Study
title_full Same Day Biopsy and Treatment of Non-Melanoma Skin Cancer in Patients with Field Cancerization: A Retrospective Chart Study
title_fullStr Same Day Biopsy and Treatment of Non-Melanoma Skin Cancer in Patients with Field Cancerization: A Retrospective Chart Study
title_full_unstemmed Same Day Biopsy and Treatment of Non-Melanoma Skin Cancer in Patients with Field Cancerization: A Retrospective Chart Study
title_short Same Day Biopsy and Treatment of Non-Melanoma Skin Cancer in Patients with Field Cancerization: A Retrospective Chart Study
title_sort same day biopsy and treatment of non melanoma skin cancer in patients with field cancerization a retrospective chart study
url http://dx.doi.org/10.1155/2023/9990046
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