Management of primary superficial basal cell carcinoma

Raasch, Beverley, and Woolley, Torres (2006) Management of primary superficial basal cell carcinoma. Australian Family Physician, 35 (6). pp. 455-458.

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BACKGROUND: Superficial basal cell carcinoma (SBCC) is a skin cancer commonly treated by general practitioners. Little is known about how GPs choose from the available treatment options. METHOD: A cross sectional survey was conducted by self administered questionnaire. RESULTS: Of 257 GPs surveyed, 107 responded (adjusted response rate 59%). Sixty-three percent reported treating more than two SBCC per month, managing 90% themselves, mostly by surgery (57%), and imiquimod 5% cream (19%). Forty percent of SBCC patients were referred to a plastic surgeon, and 26% (IQR 0-50%) to a general surgeon. Contraindications to surgery included lesion site (14%), and size (12%). Sixty-two percent of GPs reported never using curettage and cautery, and 23% never cryotherapy. If the cost of imiquimod 5% cream were to be subsidised through the Pharmaceutical Benefits Scheme, GPs predicted its use for SBCC would increase from 34 to 58% (p>0.001). DISCUSSION: General practitioners manage most lesions themselves and refer appropriately. Areas of educational need were identified with respect to management of inadequately treated or recurrent lesions.

Item ID: 4135
Item Type: Article (Refereed Research - C1)
Keywords: basal cell carcinoma; decision making; management; subcutaneous tissue; family physician
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Copyright to Australian Family Physician. Reproduced with permission. Permission to reproduce must be sought from the publisher, The Royal Australian College of General Practitioners:

ISSN: 0300-8495
Date Deposited: 28 Oct 2009 03:42
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111717 Primary Health Care @ 34%
11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110304 Dermatology @ 33%
11 MEDICAL AND HEALTH SCIENCES > 1112 Oncology and Carcinogenesis > 111299 Oncology and Carcinogenesis not elsewhere classified @ 33%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920117 Skin and Related Disorders @ 34%
92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920118 Surgical Methods and Procedures @ 33%
92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920102 Cancer and Related Disorders @ 33%
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