RT Journal Article T1 Increased Risk of Local Recurrence in Cutaneous Squamous Cell Carcinoma Arising in Sun-Exposed Skin: A Retrospective Cohort Study A1 Morelló-Vicente, Ana A1 Espejo-Martín, Marta A1 Oteiza-Rius, Inés A1 Antoñanzas, Javier A1 Velez Garcia-Nieto, Antonio A1 Salido-Vallejo, Rafael K1 Cutaneous squamous cell carcinoma K1 Local recurrence K1 Metastases K1 Sun exposure K1 Carcinoma de células escamosas K1 Metástasis de la neoplasia AB Background: The incidence of cutaneous squamous cell carcinoma (cSCC) is increasing over the years. Risk factors for local recurrence and metastasis have been widely studied in highly sun-exposed areas of the body but less data exist about less sun-exposed ones. The main objective of this study is to compare the risk of local recurrence and metastases in patients with cSCC in highly sun-exposed areas compared to cSCC in less sun-exposed areas. Material and methods: A retrospective observational study was carried out, including 558 patients with histopathologicallyconfirmed cSCC at the Reina Sofía University Hospital (HURS), Córdoba, during the period from 1 January 2017 to 31 December 2020. Demographic, clinical and anatomopathological data were collected. Results: Local recurrence occurs more often in highly sun-exposed areas (15.8%) compared to less sun-exposed ones (7.4%) (p < 0.05). However, no differences in the rate of metastases in both groups were found. The presence of affected surgical margins and tumor thickness were identified as independent risk factors for cSCC in low sun-exposure areas. Conclusions: cSCC located in anatomical areas of high sun exposure presented a greater risk of developing local recurrence in our population, which could suggest that these tumors have worse prognosis than those that lie in areas that do not receive chronic sun exposure. PB MDPI SN 2072-6694 YR 2023 FD 2023-10-18 LK https://hdl.handle.net/10668/23204 UL https://hdl.handle.net/10668/23204 LA en NO Morelló-Vicente A, Espejo-Marín M, Oteiza-Rius I, Antoñanzas J, Vélez A, Salido-Vallejo R. Increased Risk of Local Recurrence in Cutaneous Squamous Cell Carcinoma Arising in Sun-Exposed Skin: A Retrospective Cohort Study. Cancers. 2023 Oct 18;15(20):5037 DS RISalud RD Apr 18, 2025