Research Article
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The Demographics of Patients with Skin Cancer who Underwent Surgery in Diyarbakır and Performed Surgical Techniques

Year 2018, , 147 - 155, 15.06.2018
https://doi.org/10.5798/dicletip.424981

Abstract



Objective:
The major factor for developing malignant skin cancers is sunlight exposure.
This study aimed to evaluate the demographics of patients with skin cancers who
underwent surgery in Diyarbakır where the population is exposed to more
sunlight than most other Turkish cities.

Methods:
The medical records of patients who underwent surgery for malignant skin cancer
excision between 2011 and 2016 were searched using University Hospital’s
patient database program. Data about patients’ demographics, cancer features,
and the surgical techniques performed were collected.

Results:
Over a 5-year period, 190 patients underwent surgical excision. The male to
female ratio was 1.56, and the mean age was 65.8 ± 15.7 (range, 20-94) years.
The most common skin cancer was basal cell carcinoma (n=138, 72.7%), followed
by squamous cell carcinoma (n=45, 23.7%) and malignant melanoma (n=5, 2.6%).
The most common surgery was primary excision, which was performed in 90 of 190
patients (47.36%); tissue reconstruction with a skin graft or flap surgery was
required for the remaining 100 (52.63%), showing a significant difference
(p<0.001).

Conclusion:
Basal cell carcinoma is the most common skin cancer, and less than half of the
patients sought treatment immediately after they recognized the lesion. The
public should be educated about skin cancers to increase early diagnosis and
encourage timely treatment, thereby decreasing morbidity and mortality from
skin cancer.



References

  • 1. Ceradini DC and Blechman KM. Dermatology for Plastic Surgeons II: Cutaneous Malignancies. In Grabb and Smith’s Plastic Surgery. 7th ed. Ed: Thorne C: Lippincott Williams & Wilkins; 2014: 115-26.
  • 2. Shapiro RL, Culliford AT. Malignant Cutaneous Neoplasms.Current Therapy in Plastic Surgery. Ed: McCarth. et al.Elsevier Inc. 2006: p:45-52.
  • 3. Stephens PL, Ariyan S, Ocampo RV, Poo WJ.The predictive value of lymphoscintigraphy for nodal metastases of cutaneous melanoma. Conn Med. 1999; 63:387-90.
  • 4. Cancer Statistics Working Group. United States Cancer Statistics: 1999–2010 Incidence and Mortality Web-based report. Atlanta, GA: Centers for Disease Control and Prevention, U.S. Dept of Health and Human Services and National Cancer Institute, National Institutes of Health; 2013. [January 20, 2014]. http://www.cdc.gov/uscs.
  • 5. Rogers HW, Weinstock MA, Harris AR, Hinckley MR, Feldman SR, Fleischer AB et al. Incidence estimate of nonmelanoma skin cancer in the United States, 2006. Arch Dermatol. 2010; 146:283–7.
  • 6. TürkiyeCumhuriyetiSağlıkBakanlığı, Sağlıkİstatistikleri. Ekim, 2000.
  • 7. Arıca S, Nazlıcan E, Özer C, Şilfeler DB, Arıca V, Özgür T, et al. The frequency and disribution of cancer cases in Hatay District in 2008. Journal of Clinical and Experimental Investigations, 2011; 2:192-5.
  • 8. Korkut B, Bektaş SS, Doğru N. "ŞırnakİlininKanserİstatistikleri." Turkish Journal of Pathology 2011; 27.230-4.
  • 9. Özekinci S. Common Evaluation of The Cases With Cancers for Ten Years in Pathology Department Archieves. Dicle Med. Jour 2007; 34:164-9.
  • 10. Aktürk A, Yıldız KD, Nilgün B, Bayramgürler D, Kıran R, Onyedi M. Skin cancer cases admitted to Kocaeli University Medical Faculty between years 1996 and 2003. TurkiyeKlinikleri Journal Of Dermatology, 2006; 16:44-9.
  • 11. Smith A, Harrison S, Nowak M, Buettner P, Maclennan R. Changes in the pattern of sun exposure and sun protection in young children from tropical Australia. J Am AcadDermatol. 2013; 68:774-83.
  • 12. Orkić Ž, Puntarić D, Vidosavljević D, Puntarić I, Puntarić E, Gvozdić V, et al. Climatic Factors and Epidemiologic Characteristics of Head and Neck Skin Malignancies in Osijek Baranja County, Croatia. Cent Eur J Public Health. 2015; 23:275-85.
  • 13. http://www.mgm.gov.tr/veridegerlendirme/il-ve-ilceler istatistik.aspx?m=DIYARBAKIR)
  • 14. Hammond V, Reeder AI, Gray A. Patterns of real-time occupational ultraviolet radiation exposure among a sample of outdoor workers in New Zealand. Public Health. 2009; 123:182–7.
  • 15. Smit-Kroner C, Brumby S. Farmers sun exposure, skin protection and public health campaigns: An Australian perspective. Prev Med Rep. 2015 22; 2:602-7.
  • 16. Reinau D, Achermann C, Arnet N, Meier CR, Hatz C, Surber C. Sun protective behaviour of vacationers spending holidays in the tropics and subtropics. Br J Dermatol. 2014; 171:868-4.
  • 17. Yang MY, Kim JM, Kim GW, Mun JH, Song M, Ko HC, et al. The clinical and histopathological characteristics of early-onset basal cell carcinoma in Asians.J EurAcadDermatolVenereol. 2017; 31:75-80.
Year 2018, , 147 - 155, 15.06.2018
https://doi.org/10.5798/dicletip.424981

Abstract

References

  • 1. Ceradini DC and Blechman KM. Dermatology for Plastic Surgeons II: Cutaneous Malignancies. In Grabb and Smith’s Plastic Surgery. 7th ed. Ed: Thorne C: Lippincott Williams & Wilkins; 2014: 115-26.
  • 2. Shapiro RL, Culliford AT. Malignant Cutaneous Neoplasms.Current Therapy in Plastic Surgery. Ed: McCarth. et al.Elsevier Inc. 2006: p:45-52.
  • 3. Stephens PL, Ariyan S, Ocampo RV, Poo WJ.The predictive value of lymphoscintigraphy for nodal metastases of cutaneous melanoma. Conn Med. 1999; 63:387-90.
  • 4. Cancer Statistics Working Group. United States Cancer Statistics: 1999–2010 Incidence and Mortality Web-based report. Atlanta, GA: Centers for Disease Control and Prevention, U.S. Dept of Health and Human Services and National Cancer Institute, National Institutes of Health; 2013. [January 20, 2014]. http://www.cdc.gov/uscs.
  • 5. Rogers HW, Weinstock MA, Harris AR, Hinckley MR, Feldman SR, Fleischer AB et al. Incidence estimate of nonmelanoma skin cancer in the United States, 2006. Arch Dermatol. 2010; 146:283–7.
  • 6. TürkiyeCumhuriyetiSağlıkBakanlığı, Sağlıkİstatistikleri. Ekim, 2000.
  • 7. Arıca S, Nazlıcan E, Özer C, Şilfeler DB, Arıca V, Özgür T, et al. The frequency and disribution of cancer cases in Hatay District in 2008. Journal of Clinical and Experimental Investigations, 2011; 2:192-5.
  • 8. Korkut B, Bektaş SS, Doğru N. "ŞırnakİlininKanserİstatistikleri." Turkish Journal of Pathology 2011; 27.230-4.
  • 9. Özekinci S. Common Evaluation of The Cases With Cancers for Ten Years in Pathology Department Archieves. Dicle Med. Jour 2007; 34:164-9.
  • 10. Aktürk A, Yıldız KD, Nilgün B, Bayramgürler D, Kıran R, Onyedi M. Skin cancer cases admitted to Kocaeli University Medical Faculty between years 1996 and 2003. TurkiyeKlinikleri Journal Of Dermatology, 2006; 16:44-9.
  • 11. Smith A, Harrison S, Nowak M, Buettner P, Maclennan R. Changes in the pattern of sun exposure and sun protection in young children from tropical Australia. J Am AcadDermatol. 2013; 68:774-83.
  • 12. Orkić Ž, Puntarić D, Vidosavljević D, Puntarić I, Puntarić E, Gvozdić V, et al. Climatic Factors and Epidemiologic Characteristics of Head and Neck Skin Malignancies in Osijek Baranja County, Croatia. Cent Eur J Public Health. 2015; 23:275-85.
  • 13. http://www.mgm.gov.tr/veridegerlendirme/il-ve-ilceler istatistik.aspx?m=DIYARBAKIR)
  • 14. Hammond V, Reeder AI, Gray A. Patterns of real-time occupational ultraviolet radiation exposure among a sample of outdoor workers in New Zealand. Public Health. 2009; 123:182–7.
  • 15. Smit-Kroner C, Brumby S. Farmers sun exposure, skin protection and public health campaigns: An Australian perspective. Prev Med Rep. 2015 22; 2:602-7.
  • 16. Reinau D, Achermann C, Arnet N, Meier CR, Hatz C, Surber C. Sun protective behaviour of vacationers spending holidays in the tropics and subtropics. Br J Dermatol. 2014; 171:868-4.
  • 17. Yang MY, Kim JM, Kim GW, Mun JH, Song M, Ko HC, et al. The clinical and histopathological characteristics of early-onset basal cell carcinoma in Asians.J EurAcadDermatolVenereol. 2017; 31:75-80.
There are 17 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research Articles
Authors

Burhan Özalp This is me 0000-0002-0487-4472

Abdulkadir Calavul 0000-0002-6790-128X

Sinan Taşkan This is me 0000-0002-7833-6247

Mirza Yıldırım This is me 0000-0002-1024-5170

Publication Date June 15, 2018
Submission Date May 18, 2018
Published in Issue Year 2018

Cite

APA Özalp, B., Calavul, A., Taşkan, S., Yıldırım, M. (2018). The Demographics of Patients with Skin Cancer who Underwent Surgery in Diyarbakır and Performed Surgical Techniques. Dicle Tıp Dergisi, 45(2), 147-155. https://doi.org/10.5798/dicletip.424981
AMA Özalp B, Calavul A, Taşkan S, Yıldırım M. The Demographics of Patients with Skin Cancer who Underwent Surgery in Diyarbakır and Performed Surgical Techniques. diclemedj. June 2018;45(2):147-155. doi:10.5798/dicletip.424981
Chicago Özalp, Burhan, Abdulkadir Calavul, Sinan Taşkan, and Mirza Yıldırım. “The Demographics of Patients With Skin Cancer Who Underwent Surgery in Diyarbakır and Performed Surgical Techniques”. Dicle Tıp Dergisi 45, no. 2 (June 2018): 147-55. https://doi.org/10.5798/dicletip.424981.
EndNote Özalp B, Calavul A, Taşkan S, Yıldırım M (June 1, 2018) The Demographics of Patients with Skin Cancer who Underwent Surgery in Diyarbakır and Performed Surgical Techniques. Dicle Tıp Dergisi 45 2 147–155.
IEEE B. Özalp, A. Calavul, S. Taşkan, and M. Yıldırım, “The Demographics of Patients with Skin Cancer who Underwent Surgery in Diyarbakır and Performed Surgical Techniques”, diclemedj, vol. 45, no. 2, pp. 147–155, 2018, doi: 10.5798/dicletip.424981.
ISNAD Özalp, Burhan et al. “The Demographics of Patients With Skin Cancer Who Underwent Surgery in Diyarbakır and Performed Surgical Techniques”. Dicle Tıp Dergisi 45/2 (June 2018), 147-155. https://doi.org/10.5798/dicletip.424981.
JAMA Özalp B, Calavul A, Taşkan S, Yıldırım M. The Demographics of Patients with Skin Cancer who Underwent Surgery in Diyarbakır and Performed Surgical Techniques. diclemedj. 2018;45:147–155.
MLA Özalp, Burhan et al. “The Demographics of Patients With Skin Cancer Who Underwent Surgery in Diyarbakır and Performed Surgical Techniques”. Dicle Tıp Dergisi, vol. 45, no. 2, 2018, pp. 147-55, doi:10.5798/dicletip.424981.
Vancouver Özalp B, Calavul A, Taşkan S, Yıldırım M. The Demographics of Patients with Skin Cancer who Underwent Surgery in Diyarbakır and Performed Surgical Techniques. diclemedj. 2018;45(2):147-55.