Dermal Substitutes Use in Reconstructive Surgery for Skin Tumors: A Single-Center Experience
Table 1
Clinical features and outcomes summary of the patients who underwent reconstructive surgery with dermal substitutes in AC Camargo Cancer Center, from 2012 to 2016 (M = male, F = female, EC = eccrine carcinoma, DFSP = dermatofibrosarcoma protuberans, BCC = basal cell carcinoma, SCC = squamous cell carcinoma, MMis = malignant melanoma in situ, STSG = split-thickness skin graft, N/A = not available, and size according to pathology reports, without considering further excisions after frozen section when needed).
Patient
Age
Sex
Abnormality
Tumor location
Size (cm)
Comorbidity
Dressing
Complications after 1st surgery
Application of STSG (days)
Complications after 2nd surgery
Follow-up
1
64
M
EC
Scalp
20,5 × 20
Hypothyroidism Heart disease Rheumatoid arthritis
Brown
Wound secretion/debridement
28
Partial graft loss
Death
2
56
M
DFSP
Scalp
14 × 13
High blood pressure Obesity Former smoking
Vacuum
Wound secretion
50
—
No recurrence
3
84
F
BCC sclerodermiform
Lower limbs
13,8 × 8,6
Heart disease Former smoking Alzheimer’s disease
Brown
—
29
—
No recurrence
4
51
M
BCC sclerodermiform
Scalp
N/A
—
Vacuum
Wound secretion
50
—
Parotid metastasis In transit disease
5
56
M
BCC sclerodermiform
Nose
5 × 4,5
High blood pressure Smoking
Brown
Wound secretion
57
Partial graft loss
Lost
6
65
M
MMis
Digital
3,5 × 2,5
Former smoking Chronic obstructive pulmonary diseases
Brown
—
Unnecessary
—
Lost
7
75
M
BCC sclerodermiform
Scalp
8 × 5
High blood pressure Former smoking
Vacuum
—
41
—
Recurrence at 20 months
8
50
F
DFSP
Scalp
7 × 5,5
—
Brown
Wound secretion
35
—
Lost
9
77
F
Radionecrosis
Lower limbs
N/A
High blood pressure Heart disease Hypothyroidism
Vacuum
Slow granulation
Not grafted
—
No recurrence
10
41
F
MMis
Digital
3 × 3
Hypothyroidism
Brown
—
50
—
No recurrence
11
39
F
SCC
Lower limbs
13 × 6
High blood pressure, diabetes mellitus, multiple sclerosis
Vacuum
—
36
—
No recurrence
12
70
M
Angiosarcoma
Scalp
5,2 × 4,5
Parkinson’s disease
Vacuum
—
43
—
No recurrence
13
86
F
BCC sclerodermiform
Scalp
12 × 12
High blood pressure Heart disease Diabetes mellitus Renal chronic failure
Vacuum
—
64
—
No recurrence
M = male, F = female, EC = eccrine carcinoma, DFSP = dermatofibrosarcoma protuberans, BCC = basal cell carcinoma, SCC = squamous cell carcinoma, MMis = malignant melanoma in situ, STSG = split-thickness skin graft, and N/A = not available.