بررسي نتايج درمان جراحي ضايعات بازال سل كارسينوما در پوست سر به روش ترميم ثانويه

Study on the Results of Surgical Treatment of Basal cell Carcinoma on the Scalp by Secondary Intention Healing

Background and Objectives: BCC is the most common malignancy of the skin. The aim of this study was to evaluate secondary intention healing (SIH) as a method in approach to defects remaining after excision of BCC lesions of the scalp and to evaluate efficacy and complications of this method. Materials and Methods: In this clinical trial, 15 patients with BeCʹs on their scalps have been evaluated and their wounds have been managed by SIH, A course of several follow up visits at I week, 2 weeks, I month and 6 months after surgery have been arranged for them. Complications, process of wound healing, recurrence and patient satisfaction of cosmetic result of the surgery have been questioned and examined and entered to check-lists, Results: Recurrence occurred in one patient who had history of radiotherapy. In one patient granulation tissue formed with delay. The mean lesion diameter was 3.71 ± 0.46 ern and there were a direct relation between lesion diameter and time period between beginning of symptoms and patients referral to dermatologist (P ~ 0.00 I). All of the patients were satisfied with the cosmetic results of the surgery. There was only one case of infection that was not severe. Conclusions: Wound management with SIH is useful in approach to scalp BCC lesions and has acceptable rate of recurrence and complications. Reintroduction of this method can cause more accurate decision-makings and may reduce time and money spending.