Description of Patients Undergoing Mohs Surgery in Spain: Initial Report on Data From the Spanish Registry of Mohs Surgery (REGESMOHS)

Actas Dermosifiliogr. 2015 Sep;106(7):562-8. doi: 10.1016/j.ad.2015.04.002. Epub 2015 May 28.
[Article in English, Spanish]

Abstract

Introduction: The Spanish registry of Mohs micrographic surgery started collecting data in July 2013. The aim of the registry is to report on the use of this technique in Spain and the outcomes achieved. In the present article, we describe the characteristics of patients and the tumors treated.

Material and methods: This is a prospective cohort study of patients treated with Mohs micrographic surgery. The participating centers are hospitals where at least one intervention of this type is performed each week. All patients considered for Mohs micrographic surgery in participating centers are included in the registry except those who have been declared legally incompetent.

Results: Between July 2013 and October 2014, data from 655 patients were included in the registry. The most common tumor involved was basal cell carcinoma, and the most common histological subtype was infiltrative basal cell carcinoma. Most of the tumors treated were located on the face or scalp, and the most common site was the nose. Almost 40% of the tumors treated were recurrent or persistent, and preoperative tumor size was similar to that reported in other European studies and in Australia. In total, 45.5% of patients had received previous surgical treatment.

Conclusion: The findings are similar to those reported in other studies, and the data collected are useful for assessing whether the results of studies carried out elsewhere are applicable in Spain.

Keywords: Basal cell carcinoma; Carcinoma basocelular; Cirugía de Mohs; Mohs surgery; Registro de Mohs español; Spanish Mohs registry.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Carcinoma / epidemiology
  • Carcinoma / surgery
  • Carcinoma, Basal Cell / epidemiology
  • Carcinoma, Basal Cell / surgery*
  • Combined Modality Therapy
  • Databases, Factual
  • Dermatofibrosarcoma / epidemiology
  • Dermatofibrosarcoma / surgery
  • Facial Neoplasms / epidemiology
  • Facial Neoplasms / surgery
  • Humans
  • Immunocompromised Host
  • Melanoma / epidemiology
  • Melanoma / surgery
  • Mohs Surgery / statistics & numerical data*
  • Neoplasm Recurrence, Local / epidemiology
  • Neoplasm Recurrence, Local / surgery
  • Prospective Studies
  • Registries*
  • Risk Factors
  • Salvage Therapy
  • Skin Neoplasms / epidemiology
  • Skin Neoplasms / surgery*
  • Spain / epidemiology
  • Treatment Outcome