Spaghetti Technique Versus Wide Local Excision for Lentigo Maligna Affecting the Head and Neck Regions : Surgical Outcome and Descriptive Analysis of 79 Cases from a Single Practice Cohort
Martinez-Molina, Manel (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Richarz, Nina (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Jaka, Ane (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Bassas-Vila, Julio (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Mora-Fernández, Verónica (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Pi-Sunyer, Ariadna Quer (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Podlipnik, Sebastian (Hospital Clínic i Provincial de Barcelona)
Carrascosa, José Manuel (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Boada, Aram (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Universitat Autònoma de Barcelona

Fecha:	2023
Resumen:	Lentigo maligna is a subtype of melanoma in situ that typically affects the head and neck region with an increasing incidence. Margin-controlled techniques, such as spaghetti technique (ST), have gained popularity over wide local excision (WLE) with a margin of 5 mm. To evaluate the outcomes of lentigo maligna cases in the head and neck area treated by either WLE or ST in a tertiary referral hospital. The secondary goal was to describe the demographic and clinical characteristics of our series. Cohort study of patients diagnosed with lentigo maligna on the head and neck region between January 2014 and February 2022 in a tertiary hospital. In total, 79 lentigo maligna were studied, corresponding to 77 patients. Fifty-three lesions (67%) were treated with WLE and 26 (33%) with ST. The mean age of the patients was 73 years and 58% were men. Most of the tumors were located on the cheek (50%) and mean lesion diameter was 2. 2 cm for the ST group and 1. 2 cm for the WLE group. Mean duration follow-up was 44 months. There were two local recurrences in the WLE group (2/53; 3. 7%) and none in the ST group. Both WLE and ST are appropriate surgical approaches for lentigo maligna. ST offers an efficient alternative to Mohs surgery for treating lentigo maligna in the head and neck area, especially when guided by reflectance confocal microscopy.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Lentigo maligna ; Spaghetti technique ; Wide local excision ; Melanoma
Publicado en:	Dermatology practical & conceptual, Vol. 13 (july 2023) , ISSN 2160-9381

DOI: 10.5826/dpc.1303a193
PMID: 37557139

8 p, 673.3 KB

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Documentos de investigación > Documentos de los grupos de investigación de la UAB > Centros y grupos de investigación (producción científica) > Ciencias de la salud y biociencias > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP)
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