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Title: Double-bladed scalpel: A new option for harvesting margins in head and neck cancers
Authors: Cernea, C. R.
Velasco, O.
Gomes, MQT
Vellutini, E.
Hojaij, F. C.
Carlucci, D. de
Nishio, S.
Morais-Besteiro, J.
Ishida, L. C.
Ferraz, A. R.
Universidade de São Paulo (USP)
Universidade Federal de São Paulo (UNIFESP)
Keywords: head and neck cancer
surgical margins
frozen section
squamos cell carcinoma
basal cell carcinoma
Issue Date: 1-Jan-2006
Publisher: Karger
Citation: Orl-Journal for Oto-rhino-laryngology and Its Related Specialties. Basel: Karger, v. 68, n. 2, p. 83-87, 2006.
Abstract: Background: in advanced head and neck tumors margins are very rarely comprehensively checked by frozen sections. the goal of this study was to analyze a new proposal for harvesting margins using a double- bladed scalpel. Methods: Thirty-eight patients underwent a comprehensive resection of advanced head and neck tumors with a double- bladed scalpel. Margins were mapped and checked by frozen sections, while tumor resection continued. When positive margins were identified, they were excised again, and checked by frozen sections. Results: Thirty-three patients (87%) had clear skin and soft tissue margins at frozen sections. Five patients (13%) had focal skin and soft tissue-positive margins at frozen sections, which were re-excised. Two patients (5%) had skin and soft tissue-positive margins only at permanent sections. One was reoperated and 1 received radiation therapy. the 3-year local control rate was 58%. Conclusions: in this preliminary study, the double- bladed scalpel appeared to be an interesting option for complete intraoperative evaluation of surgical margins of advanced head and neck tumors. Copyright (c) 2006 S. Karger AG, Basel.
ISSN: 0301-1569
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