Controversies in dermatology
Surgical vs Nonsurgical Treatment of Basal Cell Carcinoma
Tratamiento quirúrgico vs. no quirúrgico en el carcinoma basocelular
I.R. Aguayo-Leiva
, L. Ríos-Buceta, P. Jaén-Olasolo
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Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Madrid, Spain
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Cepeda-Valdés, G. Pohla-Gubo, J.R. Borbolla-Escoboza, O. Barboza-Quintana, J. Ancer-Rodríguez, H. Hintner, J.C. Salas-Alanisa" "autores" => array:7 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Cepeda-Valdés" ] 1 => array:2 [ "nombre" => "G." "apellidos" => "Pohla-Gubo" ] 2 => array:2 [ "nombre" => "J.R." "apellidos" => "Borbolla-Escoboza" ] 3 => array:2 [ "nombre" => "O." "apellidos" => "Barboza-Quintana" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Ancer-Rodríguez" ] 5 => array:2 [ "nombre" => "H." "apellidos" => "Hintner" ] 6 => array:2 [ "nombre" => "J.C." "apellidos" => "Salas-Alanisa" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219010706971?idApp=UINPBA000044" "url" => "/15782190/0000010100000008/v1_201304241529/S1578219010706971/v1_201304241529/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Controversies in dermatology</span>" "titulo" => "Surgical vs Nonsurgical Treatment of Basal Cell Carcinoma" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "683" "paginaFinal" => "692" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "I.R. Aguayo-Leiva, L. Ríos-Buceta, P. Jaén-Olasolo" "autores" => array:3 [ 0 => array:4 [ "nombre" => "I.R." "apellidos" => "Aguayo-Leiva" "email" => array:1 [ 0 => "ingridaguayo77@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "L." "apellidos" => "Ríos-Buceta" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Jaén-Olasolo" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Madrid, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tratamiento quirúrgico vs. no quirúrgico en el carcinoma basocelular" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2010-02-13" "fechaAceptado" => "2010-06-22" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec84791" "palabras" => array:5 [ 0 => "Carcinoma" 1 => "Basal cell" 2 => "Skin cancer" 3 => "Treatment" 4 => "Surgery" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84790" "palabras" => array:5 [ 0 => "Carcinoma" 1 => "Basocelular" 2 => "Cáncer de piel" 3 => "Tratamiento" 4 => "Cirugía" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Numerous therapeutic options are now available for the treatment of basal cell carcinoma. However, few randomized controlled trials with 5-year follow-up have compared the effectiveness of the different treatments. Such a comparison is difficult, probably because efficacy depends on several factors: those related to the tumor, the patient, the technique, and the dermatologist's experience. We first describe the available therapeutic options, including certain innovative treatments. We have divided them into 2 main groups—surgical and nonsurgical—and focus on the indications, advantages, and disadvantages of each one, as well as on the cure and recurrence rates. Then, based on the evidence reviewed, we attempt to provide an outline of the therapeutic strategies recommended in basal cell carcinoma, and the approach to be used in specific situations. We also describe our own experience.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El arsenal terapéutico para el tratamiento de los carcinomas basocelulares hoy en día es muy amplio. No obstante, existen pocos estudios controlados, aleatorizados con seguimiento a 5 años que comparen la eficacia de los diferentes tratamientos. Esto es difícil, debido probablemente a que la eficacia de los mismos depende de varios factores: los derivados del propio tumor, del paciente, de la técnica y del manejo de ella hecho por el dermatólogo. Describiremos en primer lugar las opciones terapéuticas con las que contamos, incluyendo además algunos tratamientos innovadores, dividiéndolas en dos grupos principales: quirúrgicos y no quirúrgicos, enfatizando en las indicaciones, ventajas y desventajas de cada tipo, así como las tasas de curación y recurrencia de los mismos. Posteriormente con las evidencias presentadas intentaremos, de manera esquemática, exponer las estrategias terapéuticas recomendadas en cada caso, las actitudes a adoptar en determinadas situaciones así como nuestra propia experiencia.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:54 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cancer statistics 2008" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A. Jemal" 1 => "R. Siegel" 2 => "E. Ward" 3 => "Y. Hao" 4 => "J. Xu" 5 => "T. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 6 | 16 | 22 |
| 2024 Octubre | 73 | 52 | 125 |
| 2024 Septiembre | 61 | 53 | 114 |
| 2024 Agosto | 86 | 86 | 172 |
| 2024 Julio | 65 | 52 | 117 |
| 2024 Junio | 70 | 35 | 105 |
| 2024 Mayo | 65 | 46 | 111 |
| 2024 Abril | 63 | 32 | 95 |
| 2024 Marzo | 57 | 38 | 95 |
| 2024 Febrero | 76 | 38 | 114 |
| 2024 Enero | 51 | 37 | 88 |
| 2023 Diciembre | 71 | 30 | 101 |
| 2023 Noviembre | 73 | 42 | 115 |
| 2023 Octubre | 70 | 76 | 146 |
| 2023 Septiembre | 53 | 54 | 107 |
| 2023 Agosto | 46 | 28 | 74 |
| 2023 Julio | 62 | 83 | 145 |
| 2023 Junio | 43 | 45 | 88 |
| 2023 Mayo | 41 | 67 | 108 |
| 2023 Abril | 32 | 52 | 84 |
| 2023 Marzo | 38 | 29 | 67 |
| 2023 Febrero | 27 | 21 | 48 |
| 2023 Enero | 33 | 42 | 75 |
| 2022 Diciembre | 31 | 40 | 71 |
| 2022 Noviembre | 19 | 31 | 50 |
| 2022 Octubre | 19 | 21 | 40 |
| 2022 Septiembre | 17 | 38 | 55 |
| 2022 Agosto | 21 | 29 | 50 |
| 2022 Julio | 13 | 29 | 42 |
| 2022 Junio | 17 | 27 | 44 |
| 2022 Mayo | 26 | 36 | 62 |
| 2022 Abril | 53 | 41 | 94 |
| 2022 Marzo | 29 | 58 | 87 |
| 2022 Febrero | 14 | 30 | 44 |
| 2022 Enero | 47 | 47 | 94 |
| 2021 Diciembre | 23 | 39 | 62 |
| 2021 Noviembre | 24 | 51 | 75 |
| 2021 Octubre | 31 | 54 | 85 |
| 2021 Septiembre | 25 | 47 | 72 |
| 2021 Agosto | 25 | 62 | 87 |
| 2021 Julio | 29 | 40 | 69 |
| 2021 Junio | 29 | 36 | 65 |
| 2021 Mayo | 28 | 40 | 68 |
| 2021 Abril | 48 | 40 | 88 |
| 2021 Marzo | 48 | 28 | 76 |
| 2021 Febrero | 39 | 29 | 68 |
| 2021 Enero | 40 | 13 | 53 |
| 2020 Diciembre | 40 | 23 | 63 |
| 2020 Noviembre | 32 | 22 | 54 |
| 2020 Octubre | 29 | 9 | 38 |
| 2020 Septiembre | 43 | 13 | 56 |
| 2020 Agosto | 35 | 32 | 67 |
| 2020 Julio | 29 | 9 | 38 |
| 2020 Junio | 33 | 35 | 68 |
| 2020 Mayo | 27 | 31 | 58 |
| 2020 Abril | 26 | 22 | 48 |
| 2020 Marzo | 34 | 31 | 65 |
| 2020 Febrero | 4 | 2 | 6 |
| 2020 Enero | 0 | 5 | 5 |
| 2019 Diciembre | 0 | 9 | 9 |
| 2019 Noviembre | 0 | 7 | 7 |
| 2019 Octubre | 0 | 3 | 3 |
| 2019 Septiembre | 0 | 6 | 6 |
| 2019 Agosto | 0 | 4 | 4 |
| 2019 Julio | 0 | 1 | 1 |
| 2019 Junio | 0 | 6 | 6 |
| 2019 Mayo | 0 | 38 | 38 |
| 2019 Abril | 1 | 1 | 2 |
| 2019 Marzo | 0 | 7 | 7 |
| 2019 Febrero | 0 | 2 | 2 |
| 2019 Enero | 0 | 1 | 1 |
| 2018 Mayo | 0 | 1 | 1 |
| 2018 Abril | 0 | 12 | 12 |
| 2018 Febrero | 11 | 4 | 15 |
| 2018 Enero | 17 | 5 | 22 |
| 2017 Diciembre | 15 | 9 | 24 |
| 2017 Noviembre | 11 | 3 | 14 |
| 2017 Octubre | 12 | 12 | 24 |
| 2017 Septiembre | 17 | 4 | 21 |
| 2017 Agosto | 31 | 5 | 36 |
| 2017 Julio | 32 | 6 | 38 |
| 2017 Junio | 32 | 24 | 56 |
| 2017 Mayo | 30 | 10 | 40 |
| 2017 Abril | 38 | 19 | 57 |
| 2017 Marzo | 32 | 15 | 47 |
| 2017 Febrero | 18 | 14 | 32 |
| 2017 Enero | 21 | 6 | 27 |
| 2016 Diciembre | 28 | 7 | 35 |
| 2016 Noviembre | 27 | 10 | 37 |
| 2016 Octubre | 25 | 13 | 38 |
| 2016 Septiembre | 26 | 10 | 36 |
| 2016 Agosto | 35 | 14 | 49 |
| 2016 Julio | 21 | 6 | 27 |
| 2016 Junio | 13 | 10 | 23 |
| 2016 Mayo | 5 | 13 | 18 |
| 2016 Abril | 6 | 27 | 33 |
| 2016 Marzo | 3 | 16 | 19 |
| 2016 Febrero | 9 | 19 | 28 |
| 2016 Enero | 7 | 18 | 25 |
| 2015 Diciembre | 6 | 1 | 7 |
| 2015 Noviembre | 6 | 16 | 22 |
| 2015 Octubre | 9 | 18 | 27 |
| 2015 Septiembre | 4 | 11 | 15 |
| 2015 Agosto | 10 | 3 | 13 |
| 2015 Julio | 25 | 13 | 38 |
| 2015 Junio | 30 | 10 | 40 |
| 2015 Mayo | 57 | 16 | 73 |
| 2015 Abril | 35 | 20 | 55 |
| 2015 Marzo | 33 | 26 | 59 |
| 2015 Febrero | 30 | 11 | 41 |
| 2015 Enero | 25 | 18 | 43 |
| 2014 Diciembre | 46 | 15 | 61 |
| 2014 Noviembre | 44 | 14 | 58 |
| 2014 Octubre | 32 | 28 | 60 |
| 2014 Septiembre | 38 | 21 | 59 |
| 2014 Agosto | 34 | 20 | 54 |
| 2014 Julio | 60 | 18 | 78 |
| 2014 Junio | 46 | 16 | 62 |
| 2014 Mayo | 48 | 21 | 69 |
| 2014 Abril | 45 | 17 | 62 |
| 2014 Marzo | 42 | 19 | 61 |
| 2014 Febrero | 37 | 18 | 55 |
| 2014 Enero | 37 | 24 | 61 |
| 2013 Diciembre | 33 | 22 | 55 |
| 2013 Noviembre | 26 | 16 | 42 |
| 2013 Octubre | 37 | 21 | 58 |
| 2013 Septiembre | 33 | 25 | 58 |
| 2013 Agosto | 32 | 18 | 50 |
| 2013 Julio | 31 | 31 | 62 |
| 2013 Junio | 24 | 42 | 66 |
| 2013 Mayo | 22 | 21 | 43 |
| 2013 Abril | 21 | 37 | 58 |
| 2013 Marzo | 34 | 37 | 71 |
| 2013 Febrero | 18 | 19 | 37 |
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