J Korean Med Sci.  2005 Apr;20(2):279-282. 10.3346/jkms.2005.20.2.279.

Primary Facial Skin Cancer: Clinical Characteristics and Surgical Outcome in Chungbuk Province, Korea

Affiliations
  • 1Department of Otolaryngology, College of Medicine, Chungbuk National University, Cheongju, Korea. hrjin@chungbuk.ac.kr
  • 2Department of Dermatology, College of Medicine, Chungbuk National University, Cheongju, Korea.

Abstract

Clinical features of facial skin cancer in Asian population including Korean are not readily available. In the present study, we analyzed the clinical characteristics and the surgical results of primary facial skin cancer in Chungbuk Province, Korea. Eighty-six cases of primary facial skin cancer collected during a 10-yr period (1994-2003) were retrospectively reviewed about the clinical characteristics including age, sex, annual diagnostic rate, types of tumor, specific sites of occurrence, and the surgical results. The average age at the diagnosis was 67 and male to female ratio was 1 to 1.05. The average annual diagnostic rate was 0.73% and the rate surged during the period 2001-2003 compared with the period 1994 to 2000. Basal cell carcinoma was the most common tumor and the nose was the most frequent site. Traditional surgical excision with immediate reconstruction was performed in 81 cases. During the 23 months of average follow-up, three patients had recurrences (3.7%) and three patients had secondary skin cancers. Facial skin cancer is increasing in the province and basal cell carcinoma is most frequent. Traditional surgical excision and immediate reconstruction with local flap are a good therapeutic modality with an acceptable recurrence rate.

Keyword

Skin Neoplasms; Face; Carcinoma, Basal Cell; Carcinoma, Squamous Cell; Mohs Surgery

MeSH Terms

Adult
Aged
Aged, 80 and over
Carcinoma, Basal Cell/surgery
Carcinoma, Squamous Cell/surgery
Facial Neoplasms/*surgery
Female
Humans
Male
Middle Aged
Research Support, Non-U.S. Gov't
Skin Neoplasms/*surgery
Treatment Outcome

Figure

  • Fig. 1 Annual diagnostic rate of facial skin cancer from 1994 to 2003 in Chungbuk Province, Korea. BCC, basal cell carcinoma; SCC, squamous cell carcinoma.

  • Fig. 2 Age distribution of primary facial skin cancer patients from 1994 to 2003 in Chungbuk Province, Korea. BCC, basal cell carcinoma; SCC, squamous cell carcinoma.

  • Fig. 3 Specific sites of occurrence of primary facial skin cancer from 1994 to 2003 in Chungbuk Province, Korea (n=94). BCC, basal cell carcinoma; SCC, squamous cell carcinoma.

  • Fig. 4 Diagnostic rate of facial skin cancer in chronological order in previously published articles and this study. BCC, basal cell carcinoma; SCC, squamous cell carcinoma.


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