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Mohs Micrographic Surgery: Our First 100 Patients
Cirugía de Mohs: Nuestros Primeros Cien Pacientes
T. Alonso
, P. Sánchez, A. González, J. Ingelmo, I. Ruiz, S. Delgado, M.A. Rodríguez
Corresponding author
teresa@aedv.es
Correspondence: Servicio de Dermatología. Hospital de León, C/ Altos de Nava, s/n, 24280 León, Spain.
Correspondence: Servicio de Dermatología. Hospital de León, C/ Altos de Nava, s/n, 24280 León, Spain.
Servicio de Dermatología, Hospital de León, León, Spain
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Corbalán-Vélez, J.A. Ruiz-Maciá, C. Brufau, J.M. López-Lozano, E. Martínez-Barba, J. Martínez-Escribano, F.J. Carapeto" "autores" => array:7 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Corbalán-Vélez" ] 1 => array:2 [ "nombre" => "J.A." "apellidos" => "Ruiz-Maciá" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Brufau" ] 3 => array:2 [ "nombre" => "J.M." "apellidos" => "López-Lozano" ] 4 => array:2 [ "nombre" => "E." "apellidos" => "Martínez-Barba" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Martínez-Escribano" ] 6 => array:2 [ "nombre" => "F.J." 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"apellidos" => "Alonso" "email" => array:1 [ 0 => "teresa@aedv.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "P." "apellidos" => "Sánchez" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "González" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Ingelmo" ] 4 => array:2 [ "nombre" => "I." "apellidos" => "Ruiz" ] 5 => array:2 [ "nombre" => "S." "apellidos" => "Delgado" ] 6 => array:2 [ "nombre" => "M.A." "apellidos" => "Rodríguez" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Dermatología, Hospital de León, León, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondence: Servicio de Dermatología. Hospital de León, C/ Altos de Nava, s/n, 24280 León, Spain." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Cirugía de Mohs: Nuestros Primeros Cien Pacientes" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2007-12-12" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec84183" "palabras" => array:4 [ 0 => "Mohs surgery" 1 => "cutaneous tumors" 2 => "surgery" 3 => "treatment" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84184" "palabras" => array:4 [ 0 => "cirugía de Mohs" 1 => "tumores cutáneos" 2 => "cirugía" 3 => "tratamiento" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p class="elsevierStyleSimplePara elsevierViewall">Mohs surgery was first described by Frederic Mohs in 1941 to eliminate high-risk cutaneous tumors. The technique involves histological examination of the margins.</p> <span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">The aim of this study was to describe the clinical findings and compare the grade and subclinical extension of the tumor—as measured by the number of Mohs stages needed for complete elimination—according to whether the tumor presented high-risk factors.</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">We included 100 patients with 105 tumors. In all cases, age, sex, tumor site, tumor type, histological subtype in the case of basal cell carcinoma, size, recurrences, number of Mohs stages, and reconstruction technique were recorded.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The study group comprised 44 men and 56 women aged between 28 and 88 years (mean, 72.6 years). Of the tumors, 80% corresponded to basal cell carcinoma, 12.38% to squamous cell carcinoma, 4.76% to dermatofibrosarcoma protuberans, 0.95% to Merkel cell carcinoma, 0.95% to microcystic adnexal carcinoma, and 0.95% to lentigo maligna melanoma. Most tumors were located on the head and 60% required more than one Mohs stage for complete elimination.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">This series is characterized by a high percentage of high-risk cutaneous tumors. After assessing the risk factors independently, we found that the size of the tumor is the risk factor most closely related to grade and subclinical extension in the case of basal cell carcinoma, although similar conclusions cannot be drawn for the other types of tumor studied.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Definición</span><p class="elsevierStyleSimplePara elsevierViewall">Descrita por Frederic Mohs en 1941, la cirugía de Mohs es una técnica quirúrgica con control histológico de los bordes, utilizada para eliminar tumores cutáneos de alto riesgo.</p> <span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">El objetivo de este artículo es informar de los hallazgos clínicos y comparar la agresividad-extensión subclínica del tumor, medida como número de estadios de Mohs necesarios para eliminar completamente el tumor, en función de que el tumor presente o no factores de alto riesgo.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se incluyen 100 pacientes con 105 tumores y en todos los casos se obtuvieron las variables de edad y sexo del paciente, localización, tipo de tumor y subtipo histológico en el caso del carcinoma basocelular, tamaño, existencia de recurrencias, número de estadios de Mohs y técnica de reconstrucción.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se incluyen 44 hombres y 56 mujeres de edades comprendidas entre los 28 y 88 años (media 72,6). El 80% eran carcinomas basocelulares, el 12,38% carcinomas espinocelulares, el 4,76% dermatofibrosarcomas <span class="elsevierStyleItalic">protuberans</span>, el 0,95% carcinoma de células de Merkel, el 0,9 5% carcinoma anexial microquístico y el 0,95% lentigo maligno melanoma. La mayoría estaban localizados en la cabeza y el 60% precisó más de un estadio de Mohs para ser eliminado.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p class="elsevierStyleSimplePara elsevierViewall">Esta serie se caracteriza por presentar un alto porcentaje de tumores cutáneos de alto riesgo. Valorando estos factores de riesgo de forma independiente podemos concluir que el tamaño del tumor es el factor de riesgo que más se relaciona con la agresividad y la extensión subclínica en el caso del carcinoma basocelular, no pudiendo llegar a conclusiones similares para el resto de los tumores incluidos en este trabajo.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:32 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Chemosurgery: a microscopically controlled method of cancer excision" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "F.E. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 5 | 6 | 11 |
| 2024 October | 62 | 45 | 107 |
| 2024 September | 59 | 22 | 81 |
| 2024 August | 250 | 53 | 303 |
| 2024 July | 57 | 34 | 91 |
| 2024 June | 72 | 33 | 105 |
| 2024 May | 63 | 30 | 93 |
| 2024 April | 60 | 23 | 83 |
| 2024 March | 76 | 56 | 132 |
| 2024 February | 62 | 41 | 103 |
| 2024 January | 42 | 42 | 84 |
| 2023 December | 58 | 34 | 92 |
| 2023 November | 91 | 38 | 129 |
| 2023 October | 72 | 35 | 107 |
| 2023 September | 58 | 22 | 80 |
| 2023 August | 33 | 16 | 49 |
| 2023 July | 42 | 48 | 90 |
| 2023 June | 61 | 32 | 93 |
| 2023 May | 42 | 32 | 74 |
| 2023 April | 33 | 19 | 52 |
| 2023 March | 27 | 18 | 45 |
| 2023 February | 34 | 14 | 48 |
| 2023 January | 39 | 43 | 82 |
| 2022 December | 34 | 37 | 71 |
| 2022 November | 14 | 31 | 45 |
| 2022 October | 15 | 18 | 33 |
| 2022 September | 23 | 32 | 55 |
| 2022 August | 22 | 31 | 53 |
| 2022 July | 23 | 23 | 46 |
| 2022 June | 27 | 31 | 58 |
| 2022 May | 34 | 33 | 67 |
| 2022 April | 52 | 57 | 109 |
| 2022 March | 56 | 50 | 106 |
| 2022 February | 30 | 38 | 68 |
| 2022 January | 28 | 36 | 64 |
| 2021 December | 26 | 37 | 63 |
| 2021 November | 42 | 37 | 79 |
| 2021 October | 55 | 44 | 99 |
| 2021 September | 47 | 41 | 88 |
| 2021 August | 34 | 28 | 62 |
| 2021 July | 35 | 36 | 71 |
| 2021 June | 25 | 53 | 78 |
| 2021 May | 43 | 34 | 77 |
| 2021 April | 95 | 50 | 145 |
| 2021 March | 56 | 30 | 86 |
| 2021 February | 58 | 28 | 86 |
| 2021 January | 44 | 19 | 63 |
| 2020 December | 38 | 20 | 58 |
| 2020 November | 22 | 15 | 37 |
| 2020 October | 38 | 7 | 45 |
| 2020 September | 27 | 11 | 38 |
| 2020 August | 27 | 26 | 53 |
| 2020 July | 16 | 7 | 23 |
| 2020 June | 39 | 26 | 65 |
| 2020 May | 41 | 23 | 64 |
| 2020 April | 27 | 29 | 56 |
| 2020 March | 43 | 16 | 59 |
| 2020 February | 1 | 7 | 8 |
| 2020 January | 0 | 5 | 5 |
| 2019 December | 0 | 18 | 18 |
| 2019 November | 0 | 3 | 3 |
| 2019 October | 0 | 5 | 5 |
| 2019 September | 0 | 5 | 5 |
| 2019 August | 0 | 7 | 7 |
| 2019 July | 0 | 10 | 10 |
| 2019 June | 0 | 9 | 9 |
| 2019 May | 0 | 38 | 38 |
| 2019 April | 0 | 6 | 6 |
| 2019 March | 0 | 6 | 6 |
| 2019 February | 0 | 8 | 8 |
| 2019 January | 0 | 4 | 4 |
| 2018 March | 1 | 1 | 2 |
| 2018 February | 12 | 3 | 15 |
| 2018 January | 18 | 6 | 24 |
| 2017 December | 17 | 6 | 23 |
| 2017 November | 12 | 5 | 17 |
| 2017 October | 17 | 4 | 21 |
| 2017 September | 10 | 3 | 13 |
| 2017 August | 13 | 5 | 18 |
| 2017 July | 9 | 2 | 11 |
| 2017 June | 18 | 3 | 21 |
| 2017 May | 18 | 4 | 22 |
| 2017 April | 19 | 7 | 26 |
| 2017 March | 26 | 8 | 34 |
| 2017 February | 20 | 6 | 26 |
| 2017 January | 18 | 9 | 27 |
| 2016 December | 41 | 7 | 48 |
| 2016 November | 24 | 10 | 34 |
| 2016 October | 19 | 6 | 25 |
| 2016 September | 30 | 5 | 35 |
| 2016 August | 23 | 6 | 29 |
| 2016 July | 35 | 10 | 45 |
| 2016 June | 9 | 14 | 23 |
| 2016 May | 8 | 5 | 13 |
| 2016 April | 8 | 3 | 11 |
| 2016 March | 5 | 1 | 6 |
| 2016 February | 9 | 5 | 14 |
| 2016 January | 9 | 0 | 9 |
| 2015 December | 9 | 3 | 12 |
| 2015 November | 13 | 1 | 14 |
| 2015 October | 11 | 3 | 14 |
| 2015 September | 5 | 3 | 8 |
| 2015 August | 7 | 1 | 8 |
| 2015 July | 27 | 10 | 37 |
| 2015 June | 25 | 2 | 27 |
| 2015 May | 87 | 6 | 93 |
| 2015 April | 43 | 10 | 53 |
| 2015 March | 45 | 6 | 51 |
| 2015 February | 36 | 9 | 45 |
| 2015 January | 30 | 12 | 42 |
| 2014 December | 19 | 6 | 25 |
| 2014 November | 28 | 8 | 36 |
| 2014 October | 39 | 9 | 48 |
| 2014 September | 28 | 9 | 37 |
| 2014 August | 34 | 16 | 50 |
| 2014 July | 39 | 21 | 60 |
| 2014 June | 45 | 11 | 56 |
| 2014 May | 49 | 12 | 61 |
| 2014 April | 33 | 7 | 40 |
| 2014 March | 41 | 18 | 59 |
| 2014 February | 27 | 13 | 40 |
| 2014 January | 33 | 12 | 45 |
| 2013 December | 50 | 16 | 66 |
| 2013 November | 24 | 11 | 35 |
| 2013 October | 37 | 19 | 56 |
| 2013 September | 25 | 17 | 42 |
| 2013 August | 34 | 30 | 64 |
| 2013 July | 34 | 47 | 81 |
| 2013 June | 26 | 40 | 66 |
| 2013 May | 26 | 26 | 52 |
| 2013 April | 23 | 26 | 49 |
| 2013 March | 22 | 27 | 49 |
| 2013 February | 27 | 14 | 41 |
| 2013 January | 14 | 3 | 17 |
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