Advertisement

European Journal of Plastic Surgery

, Volume 29, Issue 4, pp 157–161 | Cite as

Adherence to the multiprofessional guidelines for the management of primary cutaneous squamous cell carcinoma: a re-audit of UK plastic surgeons

  • S. J. Hemington-Gorse
  • J. J. Staiano
  • S. K. Dhital
  • F. S. Fahmy
  • D. D. McGeorge
  • A. M. Juma
Original Paper

Abstract

In January 2002 multiprofessional guidelines for the treatment of squamous cell carcinoma were published by the British Association of Dermatology in conjunction with the British Association of Plastic Surgery and members of the Faculty of Clinical Oncology of the Royal College of Radiologists. In July 2002 a survey was undertaken which demonstrated that despite the availability of these guidelines, there was no consensus of opinion regarding the treatment of squamous cell carcinoma amongst UK plastic surgeons [Staiano JJ, Juma A, Dhital SK, McGeorge DD Eur J Plast Surg 27:1352004]. It is now 3 years since the guidelines were published, and we have re-audited UK plastic surgeons to determine whether the published guidelines have affected the treatment of this common cutaneous malignancy. Our findings once again demonstrate that the guidelines have had little effect on clinical practice and that the treatment of cutaneous squamous cell carcinoma varies widely amongst UK plastic surgeons.

Keywords

Squamous cell carcinoma Guidelines Excision margins 

References

  1. 1.
    Staiano JJ, Juma A, Dhital SK, McGeorge DD (2004) Excision margin for cutaneous squamous cell carcinoma: is it standardised? Eur J Plast Surg 27:135–139CrossRefGoogle Scholar
  2. 2.
    Lohmann CM, Solomon AR (2001) Clinicopathological variants of cutaneous squamous cell carcinoma. Adv Anat Pathol 8:27–36PubMedCrossRefGoogle Scholar
  3. 3.
    Strom SS, Yamamur Y (1997) Epidemiology of nonmelanoma skin cancer. Clin Plast Surg 24:627–636PubMedGoogle Scholar
  4. 4.
    Huang CC, Boyce SM (2004) Surgical margins of excision for basal cell carcinoma and squamous cell carcinoma. Semin Cutan Med Surg 23:167–173PubMedCrossRefGoogle Scholar
  5. 5.
    Geller AC, Annas GD (2003) Epidemiology of melanoma and nonmelanoma skin cancer. Semin Oncol Nurs 19:2–11PubMedCrossRefGoogle Scholar
  6. 6.
    Weinstock MA, Bogaars HA, Ashley M et al (1997) Nonmelanoma skin cancer mortality: a population based study. Arch Dermatol 127:1194–1197CrossRefGoogle Scholar
  7. 7.
    Weinstock MA (1997) Death from skin cancer among the elderly: epidemiological patterns. Arch Dermatol 133:1207–1209PubMedCrossRefGoogle Scholar
  8. 8.
    Motley R, Kersey P, Lawrence C (2002) Multiprofessional guidelines for the management of the patients with primary cutaneous squamous cell carcinoma. Br J Dermatol 146:18–25PubMedCrossRefGoogle Scholar
  9. 9.
    Royal College of Pathologists (2002) Standards and minimum datasets for reporting cancers. Minimum dataset for the histopathological reporting of common skin cancers. Royal College of Pathologist, London. http://www.rcpath.org/resources/pdf/skincancers2802.pdf
  10. 10.
    Broadland DG, Zitelli JA (1992) Surgical margins for excision of primary cutaneous squamous cell carcinoma. J Am Acad Dermatol 27:241–248Google Scholar
  11. 11.
    Thomas DJ, King AR, Peat BG (2003) Excision margins for nonmelanotic skin cancer. Plast Reconstr Surg 112:57–63PubMedCrossRefGoogle Scholar
  12. 12.
    Drake LA, Ceilley RI, Cornelison RL et al (1993) Guidelines of care for cutaneous squamous cell carcinoma. J Am Acad Dermatol 28:628–631Google Scholar
  13. 13.
    Johnson TM, Rowe DE, Nelson BR, Swanson NA (1992) Squamous cell carcinoma of the skin (excluding lip and oral mucosa). J Am Acad Dermatol 26:467–484PubMedGoogle Scholar
  14. 14.
    Mohs FE (1980) Chemosurgery. Clin Plast Surg 7:349–360PubMedGoogle Scholar
  15. 15.
    Rowe DE, Carroll RJ, Day CL (1992) Prognostic factors for local recurrence, metastasis, and survival rates in squamous cell carcinoma of the skin, ear and lip: implications for treatment modality selection. J Am Acad Dermatol 26:976–990PubMedCrossRefGoogle Scholar
  16. 16.
    Alam M, Ratner D (2001) Cutaneous squamous cell carcinoma. N Engl J Med 344:975–983PubMedCrossRefGoogle Scholar
  17. 17.
    Griffiths RW, Feeley K, Suvarna SK (2002) Audit of clinical and histological prognostic factors in primary invasive squamous cell carcinoma of the skin: assessment in a minimum 5 year follow-up study after conventional excisional surgery. Br J Plast Surg 55:287–292PubMedCrossRefGoogle Scholar
  18. 18.
    Kwa RE, Campana K, Moy RL (1992) Biology of cutaneous squamous cell carcinoma. J Am Acad Dermatol 26:1–26PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • S. J. Hemington-Gorse
    • 1
  • J. J. Staiano
    • 2
  • S. K. Dhital
    • 2
  • F. S. Fahmy
    • 2
  • D. D. McGeorge
    • 2
  • A. M. Juma
    • 2
  1. 1.Department of Plastic Surgery, Welsh Centre for Burns and Plastic SurgeryMorriston HospitalSwanseaUK
  2. 2.Department of Plastic SurgeryCountess of Chester HospitalChesterUK

Personalised recommendations