Imaging technologies for presurgical margin assessment of basal cell carcinoma

Basal cell carcinoma is the most common cancer worldwide, necessitating the development of techniques to decrease treatment costs through efficiency and efficacy. Mohs micrographic surgery, a specialized surgical technique involving staged resection of the tumor with complete histologic evaluation o...

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Bibliographic Details
Published in:Journal of the American Academy of Dermatology 2023-01, Vol.88 (1), p.144-151
Main Authors: Parashar, Krishan, Torres, Angeli Eloise, Boothby-Shoemaker, Wyatt, Kohli, Indermeet, Veenstra, Jesse, Neel, Victor, Ozog, David M.
Format: Article
Language:English
Subjects:
basal cell carcinoma
Carcinoma, Basal Cell - diagnostic imaging
Carcinoma, Basal Cell - surgery
confocal microscopy
dermatology
dermoscopy
Diagnostic Imaging - methods
digital photographic imaging
high-frequency ultrasound
Humans
margin assessment
Mohs micrographic surgery
Mohs Surgery - methods
optical coherence tomography
optical polarization imaging
photodynamic diagnosis
skin cancer
Skin Diseases - surgery
Skin Neoplasms - diagnostic imaging
Skin Neoplasms - surgery
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Summary:Basal cell carcinoma is the most common cancer worldwide, necessitating the development of techniques to decrease treatment costs through efficiency and efficacy. Mohs micrographic surgery, a specialized surgical technique involving staged resection of the tumor with complete histologic evaluation of the peripheral margins, is highly utilized. Reducing stages by even 5% to 10% would result in significant improvement in care and economic benefits. Noninvasive imaging could aid in both establishing the diagnosis of suspicious skin lesions and streamlining the surgical management of skin cancers by improving presurgical estimates of tumor sizes. Herein, we review the current state of imaging techniques in dermatology and their applications for diagnosis and tumor margin assessment of basal cell carcinoma prior to Mohs micrographic surgery.
ISSN:0190-9622
1097-6787
DOI:10.1016/j.jaad.2021.11.010