Retraction of cutaneous specimens: tumours and margins after surgical excision. 2020

Marine Sevray, and Emilie Brenaut, and Yann Grangier, and Laurent Misery, and Florence Poizeau, and Frédéric Staroz
Dermatologie, CHU Brest, Brest, France marine.sevray@hotmail.fr.

OBJECTIVE In previous studies, skin retraction of dermato-pathological specimens after the surgical excision of tumours was calculated at 30% for the surface, with approximately 20% for the length and 15% for the width. The aim of this study was to analyse the retraction of the specimens and the retraction of the lesion and the margins. METHODS Patients who underwent excision of a skin tumour between January 2013 and July 2014 were randomly included. RESULTS A total of 104 patients was included. There were 52% male with a mean age of 68.3 years. Seventy-eight per cent of the lesions were malignant (51% were basal cell carcinoma, 10% squamous cell carcinoma). The retraction of the area of the specimen (29%) was significantly greater than the retraction of the tumour (21%). On multivariate analysis, the localisation and the duration of fixation were independent predictors of the specimen area retraction. The retraction of the specimen was 17% in length and 15% in width. The retraction of the margins was calculated at 19% in length and 12% in width. The surgeon correctly evaluated the localisation of the smallest margin in 55% of cases. CONCLUSIONS Our study provided additional data regarding the retraction of the tumours and margins. The guidelines for surgical excision of skin cancers recommend a clinical margin before excision, but the evaluation of the sufficiency of the margins is based on histological measurement. Our data are useful for the interpretation of the sufficiency of the margins.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011237 Predictive Value of Tests In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test. Negative Predictive Value,Positive Predictive Value,Predictive Value Of Test,Predictive Values Of Tests,Negative Predictive Values,Positive Predictive Values,Predictive Value, Negative,Predictive Value, Positive
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000072662 Margins of Excision The edges of tissue removed in a surgery for assessment of the effectiveness of a surgical procedure in achieving the local control of a neoplasm and the adequacy of tumor removal. When the margin is negative or not involved by tumor (e.g., CANCER) it suggests all of the tumor has been removed by the surgery. Negative Surgical Margins,Positive Surgical Margins,Resection Margin,Surgical Margins,Tumor-Free Margins,Excision Margin,Excision Margins,Margin, Resection,Margin, Surgical,Margin, Tumor-Free,Margins, Resection,Margins, Surgical,Margins, Tumor-Free,Negative Surgical Margin,Positive Surgical Margin,Resection Margins,Surgical Margin,Surgical Margin, Negative,Surgical Margin, Positive,Surgical Margins, Negative,Surgical Margins, Positive,Tumor Free Margins,Tumor-Free Margin
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

Related Publications

Marine Sevray, and Emilie Brenaut, and Yann Grangier, and Laurent Misery, and Florence Poizeau, and Frédéric Staroz
October 2009, The Cochrane database of systematic reviews,
Marine Sevray, and Emilie Brenaut, and Yann Grangier, and Laurent Misery, and Florence Poizeau, and Frédéric Staroz
July 2005, Ceskoslovenska patologie,
Marine Sevray, and Emilie Brenaut, and Yann Grangier, and Laurent Misery, and Florence Poizeau, and Frédéric Staroz
September 1997, Journal of the American Academy of Dermatology,
Marine Sevray, and Emilie Brenaut, and Yann Grangier, and Laurent Misery, and Florence Poizeau, and Frédéric Staroz
January 2019, Annals of surgical oncology,
Marine Sevray, and Emilie Brenaut, and Yann Grangier, and Laurent Misery, and Florence Poizeau, and Frédéric Staroz
June 2022, Cutis,
Marine Sevray, and Emilie Brenaut, and Yann Grangier, and Laurent Misery, and Florence Poizeau, and Frédéric Staroz
August 1992, Journal of the American Academy of Dermatology,
Marine Sevray, and Emilie Brenaut, and Yann Grangier, and Laurent Misery, and Florence Poizeau, and Frédéric Staroz
October 2018, European journal of dermatology : EJD,
Marine Sevray, and Emilie Brenaut, and Yann Grangier, and Laurent Misery, and Florence Poizeau, and Frédéric Staroz
April 2011, Clinical and experimental dermatology,
Marine Sevray, and Emilie Brenaut, and Yann Grangier, and Laurent Misery, and Florence Poizeau, and Frédéric Staroz
November 2019, Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al],
Marine Sevray, and Emilie Brenaut, and Yann Grangier, and Laurent Misery, and Florence Poizeau, and Frédéric Staroz
December 2019, Clinical and experimental dermatology,
Copied contents to your clipboard!