Letter to the Editor
Response to the Article: “Efficacy of Curettage-Electrodesiccation for Basal Cell Carcinoma in Medium- and High-Risk Areas”
Respuesta al artículo: «Eficacia de la técnica de curetaje y electrodesecación en el carcinoma basocelular en zonas de riesgo medio y alto»
I.R. Aguayo-Leiva
, L. Ríos-Buceta, P. Jaén-Olasolo
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Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Universidad de Alcalá, Madrid, Spain
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"apellidos" => "Toribio" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731011003425" "doi" => "10.1016/j.ad.2011.04.019" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731011003425?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219012000753?idApp=UINPBA000044" "url" => "/15782190/0000010300000002/v1_201304241253/S1578219012000753/v1_201304241253/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Response to the Article: “Efficacy of Curettage-Electrodesiccation for Basal Cell Carcinoma in Medium- and High-Risk Areas”" "tieneTextoCompleto" => true "saludo" => "<span class="elsevierStyleItalic">To the Editor:</span>" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "173" "paginaFinal" => "174" ] ] "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, Universidad de Alcalá, Madrid, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Respuesta al artículo: «Eficacia de la técnica de curetaje y electrodesecación en el carcinoma basocelular en zonas de riesgo medio y alto»" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We sincerely appreciate the response to our article<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> precisely because it was published in the Controversies in Dermatology section of this journal. At the beginning of our article we expressly mention the difficulty of choosing a particular treatment in basal cell carcinoma because of the variability of the tumors, the different characteristics of each patient, and the different experience and skills of the treating physician.</p><p id="par0010" class="elsevierStylePara elsevierViewall">As Rodríguez-Vigil et al. rightly point out in their letter, the outcome of a given procedure depends on the physician who uses it. The results obtained by Rodríguez-Vigil et al. with their 30-year experience performing curettage-electrodesiccation for the treatment of basal cell carcinomas in a specialized unit cannot be compared with those of a dermatologist with limited experience. The literature on this subject suggests as much. A very interesting article on the importance of physicians’ experience in deciding which treatment to apply reported that if the physician performing curettage-electrodesiccation was a resident, the 5-year recurrence rate of basal cell was 18.8%.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> In response to this high recurrence rate, a resident supervision program managed to reduce the recurrence rate to 9.6%. The lowest recurrence rate (5.7%) was achieved by dermatologists fully trained in the technique in private clinics.</p><p id="par0015" class="elsevierStylePara elsevierViewall">In our article we include the treatment guidelines of the National Comprehensive Cancer Network for 2009,<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> which are based on exhaustive reviews of the literature. In these guidelines, treatment with curettage-electrodesiccation is indicated in low-risk primary basal cell carcinoma. The 2006 edition of the European Dermatology Forum Guidelines edited by Wolfram Sterry explicitly states that curettage and cautery is best used for selected low-risk lesions.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> In the 2008 edition of the evidence-based guidelines of the British Association of Dermatologists, Telfer et al.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> also state that the technique of curettage-electrodesiccation is an appropriate choice for low-risk basal cell carcinoma but not for high-risk or recurrent cases.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Though we were aware of the article by Rodríguez-Vigil et al.,<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> and consider it to be excellent, we did not include it in our review because of the limited number of citations allowed by the publisher.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Finally, we concluded our article by stating that surgical treatment (conventional surgery and Mohs surgery) has lower recurrence rates than nonsurgical treatments (we included existing data on recurrence rates after cryotherapy, curettage-electrodesiccation, photodynamic therapy, radiation therapy, imiquimod, laser therapy, 5-fluorouracil, interferon, and new nonsurgical therapies). This conclusion seems to be well-supported and is based on a thorough review of the literature.<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">7,8</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Please cite this article as: Aguayo-Leiva IR, et al. Respuesta del artículo: “Eficacia de la técnica de curetaje y electrodesecación en el carcinoma basocelular en zonas de riesgo medio y alto”. Actas Dermosifiliogr. 2012;103:173–4.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tratamiento quirúrgico vs. no quirúrgico en el carcinoma basocelular" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "I.R. Aguayo-Leiva" 1 => "L. Ríos-Buceta" 2 => "P. Jaén-Olasolo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Actas Dermosifiliogr" "fecha" => "2010" "volumen" => "101" "paginaInicial" => "683" "paginaFinal" => "692" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20965011" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0140673600036151" "estado" => "S300" "issn" => "01406736" ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The appropriateness of curettage and electrodesiccation for the treatment of basal cell carcinomas" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M. Alexiades-Armenakas" 1 => "D. Ramsay" 2 => "A.W. 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Morton" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1365-2133.2008.08666.x" "Revista" => array:6 [ "tituloSerie" => "Br J Dermatol" "fecha" => "2008" "volumen" => "159" "paginaInicial" => "35" "paginaFinal" => "48" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18593385" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Recurrence rates of primary basal cell carcinoma in facial risk areas treated with curettage and electrodesiccation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "T. Rodríguez-Vigil" 1 => "F. Vázquez-López" 2 => "N. 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Day Jr." ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Dermatol Surg Oncol" "fecha" => "1989" "volumen" => "15" "paginaInicial" => "315" "paginaFinal" => "328" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2646336" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Histology-based treatment of basal cell carcinoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "K. Mosterd" 1 => "A.H. Arits" 2 => "M.R. Thissen" 3 => "N.W. Kelleners-Smeets" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2340/00015555-0710" "Revista" => array:6 [ "tituloSerie" => "Acta Derm Venereol" "fecha" => "2009" "volumen" => "89" "paginaInicial" => "454" "paginaFinal" => "458" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19734968" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000010300000002/v1_201304241253/S1578219012000790/v1_201304241253/en/main.assets" "Apartado" => array:4 [ "identificador" => "6202" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letter to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010300000002/v1_201304241253/S1578219012000790/v1_201304241253/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219012000790?idApp=UINPBA000044" ]
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| 2015 Mayo | 78 | 6 | 84 |
| 2015 Abril | 64 | 8 | 72 |
| 2015 Marzo | 41 | 10 | 51 |
| 2015 Febrero | 39 | 9 | 48 |
| 2015 Enero | 42 | 11 | 53 |
| 2014 Diciembre | 48 | 9 | 57 |
| 2014 Noviembre | 24 | 10 | 34 |
| 2014 Octubre | 58 | 13 | 71 |
| 2014 Septiembre | 35 | 9 | 44 |
| 2014 Agosto | 47 | 13 | 60 |
| 2014 Julio | 53 | 17 | 70 |
| 2014 Junio | 64 | 16 | 80 |
| 2014 Mayo | 45 | 14 | 59 |
| 2014 Abril | 48 | 7 | 55 |
| 2014 Marzo | 68 | 16 | 84 |
| 2014 Febrero | 19 | 9 | 28 |
| 2014 Enero | 19 | 4 | 23 |
| 2013 Diciembre | 17 | 4 | 21 |
| 2013 Noviembre | 17 | 6 | 23 |
| 2013 Octubre | 12 | 9 | 21 |
| 2013 Septiembre | 12 | 7 | 19 |
| 2013 Agosto | 10 | 6 | 16 |
| 2013 Julio | 6 | 8 | 14 |
| 2013 Junio | 10 | 16 | 26 |
| 2013 Mayo | 12 | 5 | 17 |
| 2013 Abril | 19 | 8 | 27 |
| 2013 Marzo | 12 | 9 | 21 |
| 2013 Febrero | 20 | 5 | 25 |
| 2013 Enero | 22 | 3 | 25 |
| 2012 Diciembre | 15 | 4 | 19 |
| 2012 Septiembre | 1 | 1 | 2 |
| 2012 Agosto | 1 | 0 | 1 |
| 2012 Julio | 1 | 0 | 1 |
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