Presentations 2020: OMFS

438 - Audit: A Retrospective Audit of the Surgical Management of SCCs in Head and Neck Surgery

K Bhatia
Presented by: Karishma Bhatia
Prince Charles Hospital

Summary Squamous cell carcinomas (SCCs) of cutaneous origin result from the malignant proliferation of epithelium. SCCs are the second most common type of non-melanoma skin cancers with risk factors including; fair skin, age, sunlight/UV exposure and immunosuppression. They are locally invasive but have the potential for metastases. We aim to remove the lesion in its entirety but this is not always achieved and on occasion further treatment is required. Pathology reports are requested urgently in order to confirm diagnosis and advise whether further excision or treatment is required. Methods Data was collected from December 2017 to December 2018 from patients who underwent SCC excisions under maxillofacial consultants. Data was sought from the Welsh Clinical Portal, operation notes and pathology reports and recorded in an excel spreadsheet; consultant, type of anaesthetic, site, method of repair, whether there was complete excision, distance to the nearest margin, if there was invasion and any future interventions or complications with regards to the lesion. I also assessed the histopathology report waiting times. Results Of the excisions carried out the majority of lesions were completely excised. A large proportion of the lesions were high risk in terms of site and size. A small proportion of the lesions excised had involved margins which then required further treatment for complete excision. Pathology waiting times varied. Conclusions The excision rate was comparable with the previous audit results and there was some improvement in pathology report waiting times. There was a high margin clearance rate with the percentage margins being involved fairly low. It is difficult to assess rate of recurrence/complication as lesions were excised within the last 3 years.
Consent Statement: There are no details on individual patients reported within the abstract.

Poster