Treatment Outcome and Satisfaction after Micrographic Surgery Using Margin Strip Method

Kim, Young Hun; Ku, Bon Seok; Lee, Yeong Kyu; Choi, Kyu Won; Song, Ki Hoon; Kim, Ki Ho; Lee, Chae Wook

Abstract

BACKGROUND: Mohs micrographic surgery (MMS) was known as an ideal treatment for non-melanocytic skin cancers. Recently, various modified MMS methods have been introduced. Margin strip method is a modified micrographic surgery technique that makes operation and reconstruction more easy.
OBJECTIVE
The aim of this study was to evaluate the treatment results and patients' satisfaction of micrographic surgery using margin strip method.
METHODS
We reviewed 72 cases of basal cell carcinomas (BCCs) and 36 cases of squamous cell carcinomas (SCCs) treated with micrographic surgery using margin strip method from January 2001 to December 2004. We analyzed them in aspects of the sex, age, duration, location, size and histological types of tumor. They were also evaluated in aspects of surgical margin, depth, stage, defect size and reconstruction methods. We also analyzed follow-up data concerning recurrence rate, complications and patients' satisfaction.
RESULTS
SCCs were more common in older age groups, and BCCs were showing centrofacial distribution. Mean numbers of stage was 1.5 in BCC and 1.3 in SCC, and safety excised margins were 0.72 cm in BCC and 1.03 cm in SCC. Infiltrative type of BCC, the numbers of stage and size of safety excised margin were increased. The transposition and rotation flap were most commonly used in BCC and SCC, respectively. Patients' satisfaction were 8.06 in BCC and 7.76 in SCC. 6. Recurrence rate were 0% in BCC and 5.6% in SCC.
CONCLUSION
Micrographic surgery using margin strip method may be a useful and satisfactory method for the treatment of non-melanocytic skin cancers.