Burhan ÖZALP, Sinan TAŞKAN, Mirza YILDIRIM, Abdulkadir CALAVUL

Diyarbakır ve Çevresinde Deri Kanseri Nedeniyle Ameliyat Edilen Hastaların Demografik Özellikleri ve Uygulanan Cerrahi Teknikler

ÖzAmaç: Deri kanseri oluşumuna neden olan en önemli etken güneş ışığına maruziyettir. Bu çalışma, yerel halkın Türkiye’nin çoğu ilinden daha fazla güneş ışığına maruz kaldığı Diyarbakır’da deri kanseri nedeniyle ameliyat olan hastaların demografik özelliklerini incelemeyi amaçlamaktadır. Yöntemler:2011 ile 2016 yılları arasında deri kanserinin eksizyonu amacıyla ameliyat edilen hastaların tıbbi kayıtları, Üniversite Hastanesi tıbbi otomasyon program kullanılarak tarandı. Hastaların demografik özellikleri, deri kanserlerinin özellikleri ve uygulanan cerrahi tekniklere ait bilgiler toplandı. Bulgular: Beş yıldan fazla bir sürede, 190 hasta ameliyate dildi. Erkek/kadın oranı 1,56 ve ortalama hasta yaşı 65,8 ± 15,7 ( 20-94 arası ) yıldı. Deri kanserinin hastalar tarafından farkedilmesiyle tedavi için başvuru arasında geçen zaman ortalama 24.5 aydı (1-180ay). En sık görülen deri kanseri bazal hücreli karsinomken( n = 138, %72,7),bunu skuamöz hücreli karsinom (n= 45, %23,7) ve malignmelanom (n=5, %2,6) takip etmekteydi. En sık gerçekleştirilen cerrahi yöntem, 190 hastanın 90 tanesinde (%47.36) uygulanan tümöreksizyonu ve primer deri onarımıyken, geri kalan 100 hastada (%52.63) deri grefti, flep ya da combine cerrahi ile doku rekonstrüksiyonu gerekti. Primer onarım ile diğer cerrahi tekniklerin sayıları arasında istatistiksel olarak anlamlı derecede birfark vardı (p

The Demographics of Patients with Skin Cancer who Underwent Surgery in Diyarbakır and Performed Surgical Techniques

Objective: The major factor for developing malignant skin cancers is sunlight exposure. This study aimed to evaluate the demographics of patients with skin cancers who underwent surgery in Diyarbakır where the population is exposed to more sunlight than most other Turkish cities. Methods: The medical records of patients who underwent surgery for malignant skin cancer excision between 2011 and 2016 were searched using University Hospital’s patient database program. Data about patients’ demographics, cancer features, and the surgical techniques performed were collected.Results: Over a 5-year period, 190 patients underwent surgical excision. The male to female ratio was 1.56, and the mean age was 65.8 ± 15.7 (range, 20-94) years. The most common skin cancer was basal cell carcinoma (n=138, 72.7%), followed by squamous cell carcinoma (n=45, 23.7%) and malignant melanoma (n=5, 2.6%). The most common surgery was primary excision, which was performed in 90 of 190 patients (47.36%); tissue reconstruction with a skin graft or flap surgery was required for the remaining 100 (52.63%), showing a significant difference (p

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