Retrospective review of change in practice in the management of Periocular tumours in the rural setting
Author: Seng Lim Yeoh
Base Hospital / Institution: United Lincolnshire Hospitals NHS Trust
ePoster presentation
Abstract ID: 24-390
Purpose
With the continuation of COVID-19 protocol for United Lincolnshire Hospitals NHS Trust (ULHT), patients with periocular tumour will have both excision and reconstruction on the same surgical day.
The aim of this review is to identify if there are benefits for a “one-stop” procedure for excision of malignant skin lesion on a rural setting.
Methods
Patients undergoing excision of periocular tumours were identified using the hospital electronic patient record system, mediSIGHT and WebV from January 2022 to April 2024.
Results
175 cases with malignant skin lesion were identified. The average age of patients were 76.8 years. Of all cases which had undergone excisional biopsy, 143 (81.7%) cases had complete excision of lesion. There were 26 (14.8%) cases with incomplete excision, and 7 (4%) cases where histology cannot be assessed.
Of the cases which has incomplete excision:
• 2 cases had wedge excision for superficial spreading malignant melanoma and infiltrative BCC respectively
• 1 cases had melanoma in situ
• 1 case had lentigo maligna
• 4 cases had nodulo-infitrative BCC
• 10 cases had nodular BCC
• 3 cases had infiltrative BCC
• 1 case had nodulo-cystic BCC
• 1 case had solid BCC
• 3 cases had SCC
1 case which had wedge excision for Superficial spreading malignant melanoma was for conservative management. 1 patient who had wedge excision for infiltrative BCC had no residual disease on further excision. 17 cases which had re-excision showed no further disease. 5 patients refused further re-excision. 1 patient awaiting further appointment. 1 patient has incomplete notes.
Conclusion
Overall, the procedure for excision of periocular tumours can be conducted as a “one-stop” procedure. From this review, 143 of 175 patients had clearance on first procedure. For 18 cases with incomplete excision showed no residual disease. There has also been benefits with “one-stop” procedure in rural setting, mainly due to patient age, transportation difficulties and patient preference.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Jamil | Sama | United Lincolnshire Hospitals NHS Trust |
| Rebecca | Perfect | United Lincolnshire Hospitals NHS Trust |
| Christopher | Knapp | United Lincolnshire Hospitals NHS Trust |
| Anupma | Kumar | United Lincolnshire Hospitals NHS Trust |
