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- W2893016311 abstract "Background Cases of simultaneous multiple skin cancers in a single patient have become more common. Due to the multiplicity of lesions, reconstruction in such cases is more difficult than after a single lesion is removed. This study presents a series of patients with multiple facial skin cancers, with an analysis of the surgical removal, reconstruction process, and the results observed during follow-up. Methods We reviewed 12 patients diagnosed with multiple skin cancers on the face between November 2004 and March 2016. The patientsâ medical records were retrospectively reviewed to identify the type of skin cancer, the site of onset, methods of surgical removal and reconstruction, complications, and recurrence during follow-up. Results Nine patients had a single type of cancer occurring as multiple lesions, while three patients had different skin cancer types that occurred together. A total of 30 cancer sites were observed in the 12 patients. The most common cancer site was the nose. Thirteen defects were reconstructed with a flap, while 18 were reconstructed with skin grafting. The only complication was one case of recurrence of basal cell carcinoma. Conclusion Multiple skin cancers are removed by performing Mohs micrographic surgery or wide excision, resulting in multiple defect sites. The authors emphasize the importance of thoroughly evaluating local lesions surrounding the initially-identified lesions or on other sites when reconstructing a large defect which can not be covered by primary closure. Furthermore, satisfactory results can be obtained by using various methods simultaneously regarding the condition of individual patients, the defect site and size, and the surgeonâs preference. Keywords: Skin neoplasms / Melanoma / Basal cell carcinoma / Mohs surgery" @default.
- W2893016311 created "2018-10-05" @default.
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- W2893016311 date "2018-09-20" @default.
- W2893016311 modified "2023-10-16" @default.
- W2893016311 title "A clinical review of reconstructive techniques for patients with multiple skin cancers on the face" @default.
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- W2893016311 doi "https://doi.org/10.7181/acfs.2018.02012" @default.
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