Surgical Evaluation of Common Benign Skin Lesions in Primary Care

Abstract

Objective: Skin tumours are common tumors and they are mostly benign. Benign skin lesions (BSLs) may be a sign of a syndrome or of a systemic malignant state. Sometimes they can transform into malignant types. The aim of the present study is to evaluate the prevalence and the clinico-pathological characteristics of a large series of BSLs which were excised in our clinic. Methods:The patients with skin lesions who underwent a total excisional biopsy in the general surgery clinic between the years 2012 and 2016 were reviewed. Malignant skin lesions were excluded from the study. The BSLs were classified according to the Pathology and Genetics of Skin Tumours of the World Health Organization Classification of Tumours. Results: A total of 551 patients with BCL were included in the study. Of the patients, 241 (43.7%) were female and 310 (56.7%) were male. The age range was between 2 and 98 years and the mean age was 39.7. The most common benign skin lesions (n = 184, 33.3%) were appendageal tumors and this finding was statistically significant (p = 0.001). The most common appendageal tumor type (n = 75, 13.6%) was verruca vulgaris. Conclusion: Benign skin lesions are usually seen by family physicians. Some of the BCLs may be confused with malignant skin lesions and may even be associated with systemic malignancies. It is very important that family physicians can recognize benign skin lesions and plan for diagnosis and treatment such as biopsy. Amaç: Deri tümörleri çok yaygın olup çoğunlukla iyi huyludurlar. Benign cilt lezyonları (BCL), bir sendromun veya sistemik malign bir durumun belirtisi olabilirler. Bazen de malign lezyonlara dönüşebilirler. Çalışmamızın amacı, kliniğimizde eksize edilen geniş bir BCL serisinin prevalansını ve klinikopatolojik özelliklerini ortaya koymaktır. Gereç ve Yöntem: Genel cerrahi kliniğimizde 2012-2016 yılları arasında total eksizyonel biyopsi yapılan cilt lezyonları olan hastalar retrospektif olarak çalışmaya dahil edildi. Malign cilt lezyonları çalışma dışı bırakıldı. Benign cilt lezyonları Dünya Sağlık Örgütü Tümör Sınıflandırmasının Deri Tümörlerinin Patolojisi ve Genetiği'ne göre sınıflandırıldı. Bulgular: Çalışmaya BCL olan toplam 551 hasta dahil edildi. Bu hastaların 241’i (%43,7) kadın, 310’u (%56,7) erkekti. Yaş aralığı 2 ile 98 yaş aralığında olup, ortalama 39.7 idi. Benign cilt lezyonlarından en sık olarak (n=184, %33,3) appendageal tümörler yer almaktaydı ve bu bulgu istatistiksel olarak anlamlıydı (p=0.001). En sık görülen appendageal tümör tipi (n=75, %13,6)verruca vulgaris idi. Sonuç: Benign cilt lezyonları çoğunlukla aile hekimleri tarafından görülürler. Bunların bazıları malign cilt lezyonları ile karışabilir ve hatta sistemik maligniteler ile ilişkili olabilir. Benign cilt lezyonlarının aile hekimleri tarafından tanınması, biyopsi gibi tanı ve tedavi için planlama yapabilmesi çok önemlidir.

Keywords

• Benign skin lesions,primary care,surgical evaluation

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