2004
DOI: 10.1016/j.jaad.2004.04.009
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Randomized, controlled surgical trial of preoperative tumor curettage of basal cell carcinoma in Mohs micrographic surgery

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Cited by 33 publications
(13 citation statements)
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“…In a prospective, controlled study by Huang and colleagues, 166 patients with BCCs of the head and neck were randomized into curettage or no curettage arms before MMS. They found that there was a statistically significant difference between the surface area of the postsurgical defect and the area of the presurgical site for the curettage and no curettage arms but that there were fewer stages needed for tumor clearance in the curettage group 2 . In another study by Chung and colleagues, histological analysis of the presurgical curettage margin and the noncurettage margin of individual tumors revealed that presurgical curettage appropriately increased the stage one size in the vast majority of their cases.…”
Section: Discussionmentioning
confidence: 99%
“…In a prospective, controlled study by Huang and colleagues, 166 patients with BCCs of the head and neck were randomized into curettage or no curettage arms before MMS. They found that there was a statistically significant difference between the surface area of the postsurgical defect and the area of the presurgical site for the curettage and no curettage arms but that there were fewer stages needed for tumor clearance in the curettage group 2 . In another study by Chung and colleagues, histological analysis of the presurgical curettage margin and the noncurettage margin of individual tumors revealed that presurgical curettage appropriately increased the stage one size in the vast majority of their cases.…”
Section: Discussionmentioning
confidence: 99%
“…This method was used routinely in ophthalmology for imaging the retina but now the range of its usage has been spread to other cases including skin imaging. [10]…”
Section: Discussionmentioning
confidence: 99%
“…Importantly, there is no unintended enlargement of the defect. There is high‐level evidence that traditional curettage increases the size of Mohs defects . Neighbouring sun‐damaged but non‐malignant skin can be friable and curettes easily giving the impression of malignancy.…”
Section: Introductionmentioning
confidence: 99%
“…In these cases, curettage can yield poor‐quality specimens and less effective debulking. It has been recommended that curettage or debulking prior to MMS be avoided, a practice that has been widely adopted by Mohs surgeons.…”
Section: Introductionmentioning
confidence: 99%