Abstract
One option for the treatment of cutaneous tumors in the very elderly has been simple observation. However, the combination of an increasing elderly population and a concomitant high incidence of skin cancer will make this problem more common. To assess the suitability of Mohs micrographic surgery as a treatment modality for skin cancer in the 90 years and older age group. A group of patients who underwent Mohs surgery from January 1988 to August 1996 aged 90 years and older was identified, and tumor type, site, comorbid medical conditions, medications, and surgical complications were recorded. A total of 106 basal cell carcinomas (BCCs), 33 squamous cell carcinomas (SSC), six melanomas, and one basosquamous carcinoma were resected from 115 patients with an average age of 92.4 years. The overall ratio of BCC/SCC was 3.2 BCCs occurred most commonly on the face; SCCs were found more frequently on the cheeks. Patients had an average of 1.9 comorbid medical conditions and took an average of 2.3 regular medications. One complication occurred. Mohs surgery is a safe and effective therapy for those over 90 years of age.
References
Apr 1, 1992·The Journal of Cell Biology·S A Green, R B Kelly
May 1, 1991·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·P G Barash
Sep 1, 1989·Age and Ageing·F G Vaz, D G Seymour
Oct 20, 1989·JAMA : the Journal of the American Medical Association·A G Glass, R N Hoover
Apr 9, 1988·Lancet·R MarksT S Selwood
Apr 1, 1988·Annals of Surgery·M A WarnerL J Melton
Jul 1, 1988·Archives of Dermatology·R MarksT Selwood
Aug 1, 1988·The Journal of Dermatologic Surgery and Oncology·J A YianniasR M Chamberlain
Jan 1, 1987·Cancer Investigation·J Scotto, T R Fears
Feb 1, 1974·Demography·J S Siegel
Nov 1, 1984·Southern Medical Journal·R B Adkins, H W Scott
Jul 3, 1996·International Journal of Cancer. Journal International Du Cancer·S FranceschiC La Vecchia
Oct 1, 1996·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·J Cassidy, R A Marley
Citations
Jan 3, 2013·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Victoria R SharonDaniel B Eisen
Sep 11, 2012·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·UNKNOWN American Academy of DermatologyOliver J Wisco
Dec 4, 2012·Journal of the American Academy of Dermatology·Amy DelaneyDeborah F MacFarlane
Sep 11, 2012·Journal of the American Academy of Dermatology·UNKNOWN Ad Hoc Task ForceOliver J Wisco
Mar 27, 2010·Journal of the European Academy of Dermatology and Venereology : JEADV·S ParadelaE Fonseca
Jan 27, 2004·Seminars in Cutaneous Medicine and Surgery·Jonathan L Cook
Apr 6, 2016·The American Journal of Medicine·Lauren E Wiznia, Daniel G Federman
Jan 20, 2015·Journal of the American Geriatrics Society·José C PascualJosé M Ramos
Jul 6, 2016·The British Journal of Dermatology·W HussainR Mallipeddi
Sep 27, 2003·Dermatologic Therapy·Lisa M RhodesMurad Alam
Oct 3, 2017·Aging and Disease·Simone GarcovichKetty Peris
Jun 19, 2019·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Adam SuttonAshley Wysong
Mar 23, 2017·International Journal of Dermatology·Taichi ImamuraAkifumi Yamamoto
Sep 13, 2017·Journal of the European Academy of Dermatology and Venereology : JEADV·C Camarero-MulasUNKNOWN REGESMOHS (Registro Español de Cirugía de Mohs)
Jul 3, 2018·Giornale Italiano Di Dermatologia E Venereologia : Organo Ufficiale, Società Italiana Di Dermatologia E Sifilografia·Stefano DallariMarco Borgonzoni
Dec 16, 2019·Survey of Ophthalmology·Matthew A DelMauroI Rand Rodgers
Mar 23, 2017·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Christie G RegulaNaomi Lawrence
Aug 17, 2020·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Kathleen M NemerEva A Hurst
Apr 3, 2021·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·S Alison BasakNicholas J Golda
Apr 23, 2020·Journal of the American Academy of Dermatology·Niki B VoraErica H Lee