Skip to Main content Skip to Navigation
Journal articles

Cancers cutanés de la face : avis comparés de réunions de concertation pluridisciplinaire françaises

Abstract : Background - The aim of our study was to evaluate the diversity, or homogeneity, of recommendations made in multidisciplinary team meetings (MTM) concerning the management of facial skin cancers in France, and to analyze the determinants thereof. Patients and methods - We contacted a panel of dermatology and ENT multidisciplinary teams (MDT) and collected their recommendations made at meetings regarding 3 clinical cases: squamous cell carcinoma in a renal transplant patient with an incomplete excision margin (case 1), locally advanced basal cell carcinoma (case 2), and lentigo maligna (case 3). The responses were analyzed globally and then based on 2 subgroups defined by the presence or absence of a dermatologist in the MTM. The effect of the makeup of the MTM (based on the presence of a dermatologist, a plastic surgeon, an oncologist and an ENT specialist) was evaluated for the main therapeutic proposals. Results - The opinions of the 45 MDMs that responded to the survey were mixed for the three cases as regards important elements such as the indication of surgical revision for case 1, the proposal of an alternative treatment to surgery for case 2, and monitoring arrangements for case 3. Certain proposals were associated with the presence of a dermatologist in the MTM, such as discussion of adaptation of immunosuppressive treatment and details of the surgical margins to be applied for case 1, as well as simple monitoring and details of monitoring arrangements in case 3. Conclusion - It is important to maintain dermatologists in MTMs on account of their expertise in all therapeutic areas concerning skin cancers.
Complete list of metadatas

Cited literature [13 references]  Display  Hide  Download

https://hal-univ-rennes1.archives-ouvertes.fr/hal-02470972
Contributor : Laurent Jonchère <>
Submitted on : Wednesday, May 27, 2020 - 2:36:11 PM
Last modification on : Sunday, October 25, 2020 - 7:07:36 AM

File

Gallard et al-2020-Cancers cut...
Files produced by the author(s)

Identifiers

Citation

C Gallard, M Dinulescu, C Droitcourt, L Boussemart, H Adamski, et al.. Cancers cutanés de la face : avis comparés de réunions de concertation pluridisciplinaire françaises. Annales de Dermatologie et de Vénéréologie, Elsevier Masson, 2020, 147 (3), pp.179-187. ⟨10.1016/j.annder.2019.09.614⟩. ⟨hal-02470972⟩

Share

Metrics

Record views

96

Files downloads

39