Abstract
AIMS: To investigate the histopathological reporting of basal cell carcinoma. METHODS: Methods of classification and attitudes to excision margins were ascertained from histopathologists in 130 centres; 82 replies were obtained (63% response rate). RESULTS: 24% of those replying did not use any classification system for basal cell carcinoma. The remainder (76%) used a wide variety of different classification systems. A small number (9%) of those questioned felt reporting on completeness of excision was not important. The majority of histopathologists considered the excision margin was worth reporting but there were differences in methods of processing and reporting biopsies. CONCLUSIONS: There is considerable variation in histopathological reporting of basal cell carcinoma. There is a need for uniformity of histopathological reporting to allow both improved management decisions and comparative audit of this extremely common skin cancer.
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- Breuninger H., Dietz K. Prediction of subclinical tumor infiltration in basal cell carcinoma. J Dermatol Surg Oncol. 1991 Jul;17(7):574–578. doi: 10.1111/j.1524-4725.1991.tb03655.x. [DOI] [PubMed] [Google Scholar]
- Dellon A. L., DeSilva S., Connolly M., Ross A. Prediction of recurrence in incompletely excised basal cell carcinoma. Plast Reconstr Surg. 1985 Jun;75(6):860–871. doi: 10.1097/00006534-198506000-00018. [DOI] [PubMed] [Google Scholar]
- Dixon A. Y., Lee S. H., McGregor D. H. Factors predictive of recurrence of basal cell carcinoma. Am J Dermatopathol. 1989 Jun;11(3):222–232. doi: 10.1097/00000372-198906000-00005. [DOI] [PubMed] [Google Scholar]
- Horlock N., Wilson G. D., Daley F. M., Richman P. I., Grobbelaar A. O., Sanders R., Foy C. Cellular proliferation characteristics do not account for the behaviour of horrifying basal cell carcinoma. A comparison of the growth fraction of horrifying and non horrifying tumours. Br J Plast Surg. 1998 Jan;51(1):59–66. doi: 10.1054/bjps.1997.0031. [DOI] [PubMed] [Google Scholar]
- Ko C. B., Walton S., Keczkes K., Bury H. P., Nicholson C. The emerging epidemic of skin cancer. Br J Dermatol. 1994 Mar;130(3):269–272. doi: 10.1111/j.1365-2133.1994.tb02920.x. [DOI] [PubMed] [Google Scholar]
- Koplin L., Zarem H. A. Recurrent basal cell carcinoma. A review concerning the incidence, behavior, and management of recurrent basal cell carcinoma, with emphasis on the incompletely excised lesion. Plast Reconstr Surg. 1980 May;65(5):656–664. [PubMed] [Google Scholar]
- Pascal R. R., Hobby L. W., Lattes R., Crikelair G. F. Prognosis of "incompletely excised" versus "completely excised" basal cell carcinoma. Plast Reconstr Surg. 1968 Apr;41(4):328–332. doi: 10.1097/00006534-196804000-00006. [DOI] [PubMed] [Google Scholar]
- Rippey J. J. Why classify basal cell carcinomas? Histopathology. 1998 May;32(5):393–398. doi: 10.1046/j.1365-2559.1998.00431.x. [DOI] [PubMed] [Google Scholar]
- Sexton M., Jones D. B., Maloney M. E. Histologic pattern analysis of basal cell carcinoma. Study of a series of 1039 consecutive neoplasms. J Am Acad Dermatol. 1990 Dec;23(6 Pt 1):1118–1126. doi: 10.1016/0190-9622(90)70344-h. [DOI] [PubMed] [Google Scholar]
- Sloane J. P. The value of typing basal cell carcinomas in predicting recurrence after surgical excision. Br J Dermatol. 1977 Feb;96(2):127–132. doi: 10.1111/j.1365-2133.1977.tb12533.x. [DOI] [PubMed] [Google Scholar]
- Taylor G. A., Barisoni D. Ten years' experience in the surgical treatment of basal-cell carcinoma. A study of factors associated with recurrence. Br J Surg. 1973 Jul;60(7):522–525. doi: 10.1002/bjs.1800600706. [DOI] [PubMed] [Google Scholar]