Epidemiology of Pediatric Dermatologic Surgery: A Retrospective Study of 996 Children
Epidemiología de la cirugía dermatológica pediátrica. Un estudio retrospectivo de 996 niños
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García-Morales, A. Harto, M. Fernández-Guarino, P. Jaén" "autores" => array:4 [ 0 => array:2 [ "nombre" => "I." "apellidos" => "García-Morales" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Harto" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Fernández-Guarino" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Jaén" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219010707149?idApp=UINPBA000044" "url" => "/15782190/0000010100000009/v1_201304241531/S1578219010707149/v1_201304241531/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "titulo" => "Epidemiology of Pediatric Dermatologic Surgery: A Retrospective Study of 996 Children" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "771" "paginaFinal" => "777" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "V. López, J.M. Martín, C. Monteagudo, E. Jordá" "autores" => array:4 [ 0 => array:4 [ "nombre" => "V." "apellidos" => "López" "email" => array:1 [ 0 => "veronica_17@live.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J.M." "apellidos" => "Martín" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "C." "apellidos" => "Monteagudo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "E." "apellidos" => "Jordá" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:2 [ "entidad" => "<span class="elsevierStyleSup">a</span>Servicio de Dermatología, Hospital Clínico Universitario, Valencia, Spain" "identificador" => "aff0005" ] 1 => array:2 [ "entidad" => "<span class="elsevierStyleSup">b</span>Servicio de Anatomía Patológica, Hospital Clínico Universitario, Valencia, Spain" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Epidemiología de la cirugía dermatológica pediátrica. Un estudio retrospectivo de 996 niños" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-08-10" "fechaAceptado" => "2010-02-02" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec84814" "palabras" => array:4 [ 0 => "Pediatric dermatology" 1 => "Epidemiology" 2 => "Surgery" 3 => "Children" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84815" "palabras" => array:4 [ 0 => "Dermatología pediátrica" 1 => "Epidemiología" 2 => "Cirugía" 3 => "Niños" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To describe the epidemiology of skin surgery performed in the dermatology department of Hospital Clínico Universitario in Valencia, Spain, on children up to 16 years of age. The study analyzed a 9-year period.</p> <span class="elsevierStyleSectionTitle">Materials and method</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A retrospective review was performed of all tissue excisions and biopsies taken between January 1, 1990, and December 31, 2007, from patients up to 16 years of age seen in the dermatology department of Hospital Clínico Universitario. The following data were collected: age, sex, surgical site, and histopathologic diagnosis.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Between 1990 and 2007, 33 840 lesions were analyzed histologically; 996 of the lesions (2.94%) were from patients up to 16 years of age, of whom 502 (50.40%) were girls and 484 (49.60%) were boys. The mean age was 11.06 years. The majority (47.39%) of excisions were performed in children of 12 to 16 years. The distribution of the remainder by age groups was as follows: <1 year, 34 excisions (3.41%); >1 to <4 years, 66 (6.63%); >4 to <8 years, 154 (15.46%); and >8 to <12 years, 270 (27.11%). The most common diagnosis was melanocytic nevus (50.20%), followed by pilomatrixoma (4.62%), capillary angioma (3.61%), epidermal cyst (3.61%), Spitz nevus (3.31%), and pyogenic granuloma (3.11%).</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Dermatologic surgery in patients up to 16 years of age accounted for a small percentage of the overall dermatologic surgery in our hospital; the majority of children were in the 12 to <16 year age group. Most children had benign lesions, with melanocytic nevus being by far the most common diagnosis. The majority of lesions were on the trunk, followed by the head and neck. In conclusion, compared with the literature reviewed, ours is the only series on dermatologic surgery in children. It is of interest because it defines the most common conditions in these patients.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Realizar un análisis epidemiológico de la cirugía dermatológica realizada en pacientes menores de 16 años en el servicio de dermatología del Hospital Clínico Universitario durante un período de 9 años.</p> <span class="elsevierStyleSectionTitle">Método</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Se revisaron retrospectivamente todas las extirpaciones y biopsias de pacientes menores de 16 años desde 1 enero de 1999 al 31 de diciembre de 2007 en el servicio de dermatología del Hospital Clínico Universitario de Valencia. Los datos recogidos incluían las siguientes variables: la edad del paciente, el sexo, la localización y el diagnóstico histopatológico.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Dentro de este período, se analizaron histológicamente 33.840 lesiones. De ellas, 996 (2,94%) correspondieron a pacientes de ≤ 16 años. De las 996 piezas analizadas 502 (50,40%) correspondían a mujeres y 494 (49,60%) a varones. La edad media fue 11,06. El mayor número de exéresis se situó entre los 12 y los 16 años (47,39%). La distribución del resto de extirpaciones por grupos de edad fue la siguiente: ≤ 1 año 34 extirpaciones (3,41%), de > 1 a ≤ 4 años: 66 (6,63%), de > 4 a ≤ 8 años: 154 (15,46%) y de > 8 a ≤ 12 años: 270 (27,11%). El diagnóstico más frecuente fue el de nevus melanocítico (50,20%), seguido del pilomatricoma (4,62%), el angioma capilar (3,61%), el quiste epidérmico (3,61%), el nevus de Spitz (3,31%) y el granuloma piogénico (3,11%).</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">En nuestra serie, la cirugía dermatológica en menores de 16 años constituye un pequeño porcentaje de la cirugía dermatológica que se realiza en nuestro hospital, siendo el grupo de mayor edad el más frecuente. En la edad pediátrica, la patología benigna representa el mayor número de diagnósticos, siendo con mucho los nevus melanocíticos la patología más frecuente. El mayor número de lesiones se ha encontrado en el tronco, seguido por la cabeza y el cuello. En conclusión, de la literatura revisada, nuestra serie es la única en lo referente a la cirugía dermatológica en la edad pediátrica, siendo de interés para conocer la patología que con mayor frecuencia se analiza en estos pacientes.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:22 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Increasing incidence of skin disorders in children? A comparison between 1987 and 2001" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "R.S.A. Mohammedamin" 1 => "J.C. van der Wouden" 2 => "S. Koning" 3 => "M.W. van der Linden" 4 => "F.G. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 8 | 19 | 27 |
| 2024 October | 60 | 53 | 113 |
| 2024 September | 44 | 29 | 73 |
| 2024 August | 74 | 61 | 135 |
| 2024 July | 77 | 31 | 108 |
| 2024 June | 82 | 21 | 103 |
| 2024 May | 50 | 35 | 85 |
| 2024 April | 64 | 32 | 96 |
| 2024 March | 60 | 33 | 93 |
| 2024 February | 54 | 35 | 89 |
| 2024 January | 40 | 41 | 81 |
| 2023 December | 41 | 33 | 74 |
| 2023 November | 49 | 40 | 89 |
| 2023 October | 43 | 26 | 69 |
| 2023 September | 36 | 27 | 63 |
| 2023 August | 26 | 22 | 48 |
| 2023 July | 31 | 39 | 70 |
| 2023 June | 42 | 27 | 69 |
| 2023 May | 39 | 20 | 59 |
| 2023 April | 29 | 22 | 51 |
| 2023 March | 21 | 20 | 41 |
| 2023 February | 21 | 23 | 44 |
| 2023 January | 25 | 30 | 55 |
| 2022 December | 28 | 38 | 66 |
| 2022 November | 18 | 24 | 42 |
| 2022 October | 9 | 12 | 21 |
| 2022 September | 16 | 36 | 52 |
| 2022 August | 17 | 37 | 54 |
| 2022 July | 15 | 28 | 43 |
| 2022 June | 13 | 22 | 35 |
| 2022 May | 45 | 31 | 76 |
| 2022 April | 26 | 52 | 78 |
| 2022 March | 40 | 43 | 83 |
| 2022 February | 21 | 32 | 53 |
| 2022 January | 22 | 43 | 65 |
| 2021 December | 20 | 43 | 63 |
| 2021 November | 24 | 49 | 73 |
| 2021 October | 24 | 56 | 80 |
| 2021 September | 27 | 51 | 78 |
| 2021 August | 13 | 33 | 46 |
| 2021 July | 22 | 46 | 68 |
| 2021 June | 34 | 22 | 56 |
| 2021 May | 22 | 20 | 42 |
| 2021 April | 29 | 40 | 69 |
| 2021 March | 42 | 18 | 60 |
| 2021 February | 62 | 30 | 92 |
| 2021 January | 19 | 18 | 37 |
| 2020 December | 25 | 14 | 39 |
| 2020 November | 17 | 25 | 42 |
| 2020 October | 19 | 14 | 33 |
| 2020 September | 21 | 8 | 29 |
| 2020 August | 30 | 26 | 56 |
| 2020 July | 17 | 8 | 25 |
| 2020 June | 29 | 32 | 61 |
| 2020 May | 20 | 23 | 43 |
| 2020 April | 21 | 24 | 45 |
| 2020 March | 25 | 23 | 48 |
| 2020 February | 2 | 4 | 6 |
| 2020 January | 0 | 5 | 5 |
| 2019 December | 0 | 14 | 14 |
| 2019 November | 0 | 3 | 3 |
| 2019 October | 0 | 3 | 3 |
| 2019 September | 0 | 1 | 1 |
| 2019 July | 0 | 4 | 4 |
| 2019 June | 0 | 6 | 6 |
| 2019 May | 0 | 42 | 42 |
| 2019 April | 0 | 6 | 6 |
| 2019 March | 0 | 11 | 11 |
| 2019 February | 0 | 1 | 1 |
| 2018 December | 0 | 1 | 1 |
| 2018 November | 0 | 3 | 3 |
| 2018 October | 0 | 1 | 1 |
| 2018 February | 9 | 1 | 10 |
| 2018 January | 16 | 5 | 21 |
| 2017 December | 16 | 5 | 21 |
| 2017 November | 17 | 4 | 21 |
| 2017 October | 13 | 6 | 19 |
| 2017 September | 17 | 4 | 21 |
| 2017 August | 23 | 8 | 31 |
| 2017 July | 12 | 3 | 15 |
| 2017 June | 24 | 2 | 26 |
| 2017 May | 10 | 5 | 15 |
| 2017 April | 16 | 3 | 19 |
| 2017 March | 19 | 4 | 23 |
| 2017 February | 15 | 9 | 24 |
| 2017 January | 19 | 6 | 25 |
| 2016 December | 29 | 10 | 39 |
| 2016 November | 23 | 5 | 28 |
| 2016 October | 35 | 7 | 42 |
| 2016 September | 26 | 6 | 32 |
| 2016 August | 29 | 10 | 39 |
| 2016 July | 22 | 2 | 24 |
| 2016 June | 9 | 4 | 13 |
| 2016 May | 6 | 3 | 9 |
| 2016 April | 7 | 0 | 7 |
| 2016 March | 8 | 1 | 9 |
| 2016 February | 5 | 3 | 8 |
| 2016 January | 5 | 0 | 5 |
| 2015 December | 15 | 0 | 15 |
| 2015 November | 12 | 1 | 13 |
| 2015 October | 9 | 1 | 10 |
| 2015 September | 7 | 2 | 9 |
| 2015 August | 14 | 3 | 17 |
| 2015 July | 31 | 3 | 34 |
| 2015 June | 27 | 4 | 31 |
| 2015 May | 39 | 15 | 54 |
| 2015 April | 37 | 9 | 46 |
| 2015 March | 41 | 8 | 49 |
| 2015 February | 21 | 7 | 28 |
| 2015 January | 18 | 5 | 23 |
| 2014 December | 17 | 14 | 31 |
| 2014 November | 12 | 12 | 24 |
| 2014 October | 25 | 16 | 41 |
| 2014 September | 15 | 11 | 26 |
| 2014 August | 24 | 11 | 35 |
| 2014 July | 30 | 16 | 46 |
| 2014 June | 30 | 14 | 44 |
| 2014 May | 38 | 19 | 57 |
| 2014 April | 26 | 12 | 38 |
| 2014 March | 35 | 21 | 56 |
| 2014 February | 29 | 16 | 45 |
| 2014 January | 31 | 20 | 51 |
| 2013 December | 37 | 9 | 46 |
| 2013 November | 33 | 17 | 50 |
| 2013 October | 35 | 19 | 54 |
| 2013 September | 26 | 15 | 41 |
| 2013 August | 22 | 18 | 40 |
| 2013 July | 38 | 30 | 68 |
| 2013 June | 24 | 19 | 43 |
| 2013 May | 21 | 15 | 36 |
| 2013 April | 22 | 19 | 41 |
| 2013 March | 19 | 21 | 40 |
| 2013 February | 9 | 9 | 18 |
| 2013 January | 2 | 1 | 3 |
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