Ragıp Onur ÖZTORNACI, Talih ÖZDAŞ, Emin KAPI, Kemal Koray BAL, Sedat ALAGÖZ, Elif Burcu ŞENYURT, Asiye Merve ERDOĞAN

Geriatrik Populasyonda Baş Boyun Cilt, Ciltaltı Tümöral Lezyonlarının İncelenmesi

Giriş: Derinin malign tümörleri arasında bazal hücreli karsinom, skuamöz hücreli karsinom, malign melanom ve deri eklerinintümörleri bulunur.Geriatrik popülasyonda baş ve boyun bölgesindeki deri lezyonlarına sıklıkla rastlanmaktadır. Bu lezyonlargenellikle iyi huylu olmakla birlikte, malign lezyonların prevalansının yaşla birlikte arttığı yaygın olarak bilinmektedir.Yetişkinlerdebenign tiroid hastalıkları dışında boyundaki kitlelerin 80%'i neoplastik kökenlidir ve bu oran 5. dekaddan sonr 90%'a ulaşır. Buneoplastik kitlelerin yaklaşık 70%'i maligndir,bunların dörtte üçü metastatik malignite ve dörtte biri birincil malignitelerdir. Amaç: Dünya nüfusunun artması, sağkalım süresinin artırılması ve geriatrik hasta popülasyonunun artırılması sağlık hizmetlerindebazı farklılıklar yaratır. Bu çalışmayı bu amaçla planladık. Yöntemler: 65 yaş ve üstü 73 hastanın verileri retrospektif olarak incelendi. Hastalar yaşa göre 65-75 yaş (Grup 1),> 75 yaş (Grup 2)olmak üzere iki gruba ayrıldı. Bulgular: Premalign lezyonlar Grup 1'de istatistiksel olarak anlamlı derecede yüksek bulundu (p

Evaluation Of Tumoral Lesions Of The Skin And Subcutaneous TissueOf The Head And Neck In Geriatric Population

Introduction: Malignant tumors of the skin include basal cell carcinoma, squamous cell carcinoma, malignant melanoma and tumors of the skin appendages.Skin lesions in the head and neck region are frequently encountered in the geriatric population. Although these lesions are generally benign, it is widely known that the prevalence of malignant lesions increases with age.In adults, 80% of the masses in the neck, except benign thyroid diseases, are of neoplastic origin and this rate reaches 90% after the 5th decade. About 70% of these neoplastic masses are malignant, and three-quarters of these are metastatic and one-fourth is primary malignancies. Objectives: Increasing world population, increasing survival time and increasing geriatric patient population create some differences in healthcare. We planned this study for this purpose.Methods: The data of 73 patients aged 65 and over were retrospectively analyzed. Patients were divided into two groups as 65-75 years old (Group 1), > 75 years old (Group 2), by age.Results: Premalignant lesions were found to be statistically significantly higher in Group 1 (p

PDF

___

1. Miller DL, Weinstock MA.Nonmelanoma skin cancer in the United States: incidence. J Am Acad Dermatol. 1994; 30: 774-8.
2. Aubry F, Mac Gibbon B.Risk factors of squamous cell carcinoma of the skin: A case-control study in the Montreal region. Cancer.1985; 55: 907-11.
3. Paolino G, Donati M, Didona D, Mercuri SR , Cantisani C . Histology of Non-Melanoma Skin Cancers: An Update. Biomedicines. 2017; 5: 71.
4. Sutherland D, Roth K, Yu E. Malignant Proliferating Trichilemmal Tumor Treated with Radical Radiotherapy: A Case Report and Literature Review. Cureus. 2017; 9: e999.
5. Duduyemi BM, Omonisi AE, Titiloye NA. Skin and Soft Tissue Lesions in a District Hospital in Central Nigeria: A Histopathological Study. Dermatol Res Pract. 2019; 2019: 8143680.
6. Korkmaz MO, Dikicier BS, Bahçecitapar M, Elden SG, Güven M.Approach to Cutaneus Lesions of the Head and Neck in the Geriatric Age Group: Retrospective Analysis of 170 Cases.Turkish Journal of Geriatrics. 2020;23: 206-15.
7. Kim JYS, Kozlow JH, Mittal B, Moyer J, Olenecki T, Rodgers P. Guidelines of care for the management of cutaneous squamous cell carcinoma. J Am Acad Dermatol. 2018;78:560-78.
8. Losquadro WD. Anatomy of the skin and the pathogenesis of nonmelanoma skin cancer. Facial Plast Surg Clin North Am. 2017; 25: 283-9.
9. Dalal AJ, Ingham J, Collard B, Merrick G. Review of outcomes of 500 consecutive cases of non-melanoma skin cancer of the head and neck managed in an oral and maxillofacial surgical unit in a District General Hospital. Br J Oral Maxillofac Surg. 2018; 56: 805-9.
10. Ozturk K, Gode S, Erdogan U, Akyildiz S, Apaydin F. Squamous cell carcinoma of the lip: survival analysis with long-term follow-up. Eur Arch Otorhinolaryngol. 2015; 272: 3545-50.
11. Koç C, Akyol U, Özdem C. Boyun Kitleleri. Ankara Tıp Mecmuası. 1995;48: 243-52.
12. Alvia A, Johnson JT. The neck mass a challenging differantial diagnosis. Postgrad Med. 1995; 97: 87– 90,93-4,97.
13. Panje WR, Ceilley RI. The influence of embryology of midface on the spread of epithelial malignancies. Laryngoscope. 1979; 89: 1914-20.
14. Swanson NA. Mohs surgery: tecnique, indications, applications, and the future. Arch Dermatol. 1983;119: 761-73.
15. Jemal A, Murray T, Samuels A, et al. Cancer statistics, 2003. CA Cancer J Clin. 2003; 53: 5-26.
16. Shanoff LB, Spira M, Hardy SB. Basal cell carcinoma: A statistical approach to rational management. Plast Reconstr Surg. 1967; 39: 619-24.
17. Freeman RG, Knox JM. Clinical diagnosis of skin tumors by dermatologists. Arch Dermatol. 1963; 87: 350-6.
18. Albert A, Knoll MA, Conti JA, Zbar RIS. Nonmelanoma skin cancers in the older patient. Curr Oncol Rep. 2019; 21: 79.
19. Yaldiz M. Dermatological diseases in the geriatric age group: Retrospective analysis of 7092 patients. Geriatr Gerontol Int. 2019; 19: 582-5.
20. Hussein MR. Skin cancer in Egypt: a word in your ear. Cancer Biol Ther. 2005; 4: 593-5. 21. Goldberg LH. Basal cell carcinoma. Lancet. 1996; 347: 663-7.
22. McGuirt WF. Differantial Diagnosis of Neck Masses. In:Cummings CW, Frederickson JM, Harker LA, Krause CJ, Richardson MA, Schuller DE. Eds.Otolaryngology Head and Neck Surgery, 3th. edn, St Louis, Mosby year book, 1998; 1686-99.
23. Ucak M, Ucmak D, Akkurt ZM, ve ark. Bir üniversite hastanesi dermatoloji polikliniğine başvuran çocuk hastaların deri biyopsilerinin klinikopatolojik korelasyonu. Dicle Med J. 2014; 41: 526-8.
24. Altun E,Azatcam M.Servikal lenf nodunda lokalize anjiomyomatöz hamartom: Olgu sunumu. Dicle Med J. 2015; 42: 86-8.
25. Gul M, Aliosmanoglu I, Turkoglu A. Erişkin çağı periferik lenfadenopatileri: Eksizyonel biyopsi uygulanan 67 hastanın sonuçları. Dicle Med J. 2013; 40: 245-9.