Dermal Substitutes Use in Reconstructive Surgery for Skin Tumors: A Single-Center Experience

Table 1

Clinical features and outcomes summary of the patients who underwent reconstructive surgery with dermal substitutes in AC Camargo Cancer Center, from 2012 to 2016 (M = male, F = female, EC = eccrine carcinoma, DFSP = dermatofibrosarcoma protuberans, BCC = basal cell carcinoma, SCC = squamous cell carcinoma, MMis = malignant melanoma in situ, STSG = split-thickness skin graft, N/A = not available, and size according to pathology reports, without considering further excisions after frozen section when needed).

Patient	Age	Sex	Abnormality	Tumor location	Size (cm)	Comorbidity	Dressing	Complications after 1st surgery	Application of STSG (days)	Complications after 2nd surgery	Follow-up
1	64	M	EC	Scalp	20,5 × 20	Hypothyroidism; Heart disease; Rheumatoid arthritis	Brown	Wound secretion/debridement	28	Partial graft loss	Death
2	56	M	DFSP	Scalp	14 × 13	High blood pressure; Obesity; Former smoking	Vacuum	Wound secretion	50	—	No recurrence
3	84	F	BCC sclerodermiform	Lower limbs	13,8 × 8,6	Heart disease; Former smoking; Alzheimer’s disease	Brown	—	29	—	No recurrence
4	51	M	BCC sclerodermiform	Scalp	N/A	—	Vacuum	Wound secretion	50	—	Parotid metastasis; In transit disease
5	56	M	BCC sclerodermiform	Nose	5 × 4,5	High blood pressure; Smoking	Brown	Wound secretion	57	Partial graft loss	Lost
6	65	M	MMis	Digital	3,5 × 2,5	Former smoking; Chronic obstructive pulmonary diseases	Brown	—	Unnecessary	—	Lost
7	75	M	BCC sclerodermiform	Scalp	8 × 5	High blood pressure; Former smoking	Vacuum	—	41	—	Recurrence at 20 months
8	50	F	DFSP	Scalp	7 × 5,5	—	Brown	Wound secretion	35	—	Lost
9	77	F	Radionecrosis	Lower limbs	N/A	High blood pressure; Heart disease; Hypothyroidism	Vacuum	Slow granulation	Not grafted	—	No recurrence
10	41	F	MMis	Digital	3 × 3	Hypothyroidism	Brown	—	50	—	No recurrence
11	39	F	SCC	Lower limbs	13 × 6	High blood pressure, diabetes mellitus, multiple sclerosis	Vacuum	—	36	—	No recurrence
12	70	M	Angiosarcoma	Scalp	5,2 × 4,5	Parkinson’s disease	Vacuum	—	43	—	No recurrence
13	86	F	BCC sclerodermiform	Scalp	12 × 12	High blood pressure; Heart disease; Diabetes mellitus; Renal chronic failure	Vacuum	—	64	—	No recurrence

M = male, F = female, EC = eccrine carcinoma, DFSP = dermatofibrosarcoma protuberans, BCC = basal cell carcinoma, SCC = squamous cell carcinoma, MMis = malignant melanoma in situ, STSG = split-thickness skin graft, and N/A = not available.