Clinical and epidemiological analysis of basosquamous carcinoma: results of the multicenter study
SCIENTIFIC REPORTS
Authors: Ciazynska, Magdalena; Slawinska, Martyna; Kaminska-Winciorek, Grazyna; Lange, Dariusz; Lewandowski, Bogumil; Reich, Adam; Pabianek, Marta; Szczepaniak, Katarzyna; Hankiewicz, Adam; Ulanska, Malgorzata; Morawiec, Jan; Blasinska-Morawiec, Maria; Morawiec, Zbigniew; Piekarski, Janusz; Brodowski, Robert; Zaryczanska, Anna; Sobjanek, Michal; Owczarek, Witold; Slowinska, Monika; Wrobel, Katarzyna; Bieniek, Andrzej; Wozniacka, Anna; Skibinska, Malgorzata; Narbutt, Joanna; Niemczyk, Wojciech; Ciazynski, Karol; Lesiak, Aleksandra
Abstract
Basosquamous carcinoma (BSC) is a rare non-melanoma skin cancer that shares the characteristic features of both basal and squamous cell carcinomas (BCC, SCC). Our research enables better characterization of BSC in comparison to high-risk subtypes of BCC and SCC. Paper includes a retrospective analysis of BSC cases regarding sex, age, number of tumors and anatomical distribution in comparison to BCC and SCC evaluating the differences and defining the implications. Histologically confirmed carcinomas recorded between 1999 and 2019 were studied. 181 diagnosed BSC cases were identified, making this study the largest cohorts of BSC patients reported worldwide. Most cases were reported on head and neck. Analysis of facial anatomic distribution shows that most commonly affected sites were the nose (43%) and the cheek (25%). The age at excision of metatypical BCC was higher than those of low-risk BCC (P<0.05), however similar to high-risk BCC (P=0.20). We revisited that the concept of BSC is the most similar to high-risk subtypes of BCC. Patients with diagnosed BSC have higher risk of second nonmelanoma skin cancer. Therefore, the frequency of follow-up examination should be adjusted to the individual risk of another skin cancer.
Incidence of Cutaneous Melanoma of Eyelid Analysis of the Surveillance, Epidemiology, and End Results Database
OCULAR ONCOLOGY AND PATHOLOGY
Authors: Brunetti, Philip; Margo, Curtis E.; French, Dustin D.
Abstract
Purpose: The aim of this work was to report the annual incidence, incidence trend, histological types, and cause-specific survival of cutaneous melanoma of the eyelid from 1975 through to 2017. Methods: Cases were identified in the Surveillance, Epidemiology, and End Results (SEER) database using the ICD-0-3 standard codes for diagnosis and anatomic location. Cutaneous melanomas of the face and scalp/neck were studied as comparison groups. Incidence rates were calculated using the SEER*Stat statistical analysis software with 95% confidence intervals. Melanoma-specific survival was estimated using the Kaplan-Meier product-limited method. Results: There was an increase in annual incidence of eyelid melanoma over the 43-year study period, ranging from a low of 0.2 x 10(6) population in 1978 (95% CI 0.04-0.6) to a high of 1.0 x 10(6) population in 2016 (95% CI 2.3-3.5). The average annual percent change was 1.2% (95% CI 0.5-1.8). Cause-specific survival of melanoma of the eyelid and facial skin were almost identical (approx. 91.7%) at 60 months but significantly worse for melanoma of the scalp/neck (p < 0.05%). Conclusions: Cutaneous melanoma of the eyelid is uncommon compared to melanoma of facial skin and the scalp/neck. This can be explained in part by the comparatively small surface area at risk. Like melanomas elsewhere, the annual incidence of eyelid melanoma has risen over the last 4 decades, but less than of facial skin and the scalp/neck. Over the span of this study, cause-specific survival from eyelid melanoma was comparable to that of facial skin and better than that of the scalp/neck.