Background: The purpose was to describe the Nordic treatment practices and to reach a Nordic consensus for the\ntreatment of sebaceous eyelid carcinoma.\nMethods: The treatment practices data was collected by a questionnaire with 37 questions to the Nordic\noculoplastic surgeons and analyzed. A PubMed MEDLINE database search was done to gather data on the\npublished treatment practices and recommendations. A working group that consisted of in minimum one senior\nconsultant from each leading Nordic University Eye Hospital was assigned. A structured interactive method was\nused to establish the consensus.\nResults: Twenty-four doctors responded to the questionnaire. 23/24 (96%) of the respondents took a biopsy before\nsurgery. Regional lymph node scanning was routinely done by 14/23 (61%) and a systemic screening of a\nmetastatic disease by 13/23 (57%). 6/22 (27%) never took conjunctival mapping biopsies and 12/23 (52%) never\nscreened for Muir- Torre. Respondents used Mohs surgery, frozen section or multi-stage excision with delayed\nclosure, and 5â??6mm was the mostly preferred margin. Sentinel lymph node biopsy was a possible option for 9/22\n(41%) and cryotherapy and Mitomycin C for 6/22 (27%) respondents. 50% of respondents considered radiation as a\ntreatment option. 15/16 (94%) respondents always followed-up their patients, most for 5 years. Two thirds scanned\nregional lymph nodes during the follow-up. Consensus was reached for 18 statements representing three domains:\npreoperative work-up, treatment and follow-up.\nConclusion: Treatment practices differ in between the five Nordic countries which have similar public health care\nsystems. In the article the authors present a Nordic consensus for the treatment of eyelid sebaceous carcinoma.
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