Genital tumors

Their management by micrographic surgery

M. D. Brown, C. B. Zachary, R. C. Grekin, Neil Swanson

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

Genital tumors represent a special group requiring effective and curative treatment while functional and cosmetic demands require tissue sparing techniques. For these reasons, micrographic surgery is indicated. Over the past 5 years we have treated 24 such patients utilizing standard techniques for micrographic surgery. The patient population included twenty male and four female patients with ages ranging from 27 to 80 years. Histologically confirmed diagnoses included squamous cell carcinoma, Bowen's disease, verrucous carcinoma, basal cell carcinoma, Paget's disease, and leiomyosarcoma. These were located on the penis, scrotum, perineum, and buttocks. Seven of these patients were considered to have recurrent tumors. Preexisting conditions existed in 6 patients, including balantis xerotica obliterans, trauma, decubitus, ulcer, and hidradenitis suppurativa. All surgery was performed under local anesthesia in the cutaneous surgery unit. Average pretreatment tumor size was 2.0 x 1.9 cm. Average postoperative defect size was 4.5 x 3.7 cm. Tumors were excised with an average of three stages and 18 sections. Most defects (65%) were allowed to heal by secondary intention, five (21%) were closed primarily, and three were referred for closure. After surgery five patients developed metastases in their regional lymphatic system. No patients developed local recurrence. Micrographic surgery is a most useful treatment modality in patients with genital tumors for control of local disease. However, patients with squamous cell carcinoma should be considered for elective regional lymph node biopsy and/or dissection in conjunction with micrographically controlled excision of the primary tumor.

Original languageEnglish (US)
Pages (from-to)115-122
Number of pages8
JournalJournal of the American Academy of Dermatology
Volume18
Issue number1 I
StatePublished - 1988
Externally publishedYes

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Neoplasms
Squamous Cell Carcinoma
Hidradenitis Suppurativa
Verrucous Carcinoma
Dermatologic Surgical Procedures
Bowen's Disease
Perineum
Lymphatic System
Buttocks
Preexisting Condition Coverage
Scrotum
Leiomyosarcoma
Pressure Ulcer
Basal Cell Carcinoma
Penis
Local Anesthesia
Lymph Node Excision
Cosmetics
Neoplasm Metastasis
Biopsy

ASJC Scopus subject areas

  • Dermatology

Cite this

Brown, M. D., Zachary, C. B., Grekin, R. C., & Swanson, N. (1988). Genital tumors: Their management by micrographic surgery. Journal of the American Academy of Dermatology, 18(1 I), 115-122.

Genital tumors : Their management by micrographic surgery. / Brown, M. D.; Zachary, C. B.; Grekin, R. C.; Swanson, Neil.

In: Journal of the American Academy of Dermatology, Vol. 18, No. 1 I, 1988, p. 115-122.

Research output: Contribution to journalArticle

Brown, MD, Zachary, CB, Grekin, RC & Swanson, N 1988, 'Genital tumors: Their management by micrographic surgery', Journal of the American Academy of Dermatology, vol. 18, no. 1 I, pp. 115-122.
Brown MD, Zachary CB, Grekin RC, Swanson N. Genital tumors: Their management by micrographic surgery. Journal of the American Academy of Dermatology. 1988;18(1 I):115-122.
Brown, M. D. ; Zachary, C. B. ; Grekin, R. C. ; Swanson, Neil. / Genital tumors : Their management by micrographic surgery. In: Journal of the American Academy of Dermatology. 1988 ; Vol. 18, No. 1 I. pp. 115-122.
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