Revised Mohs surgery care guidelines for squamous cell carcinoma in-situ are overdue

Carley, Sama K; Dixon, Andrew; Zachary, Christopher B.; Steinman, Howard K.

doi:10.5070/d3253043329

Cited by 2 publications

(1 citation statement)

References 39 publications

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“…Further research is needed to determine cost, efficacy, patient-rated convenience and cosmetic outcome comparing EDC, excision, and Mohs surgery in other clinical situations. 14…”

Section: Discussionmentioning

confidence: 99%

Electrodesiccation and Curettage for Squamous Cell Carcinoma in Situ: The Effect of Anatomic Location on Local Recurrence

Veverka

Stratman

2023

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BACKGROUND Electrodesiccation and curettage (EDC) is a common, minimally invasive treatment of cutaneous squamous cell carcinoma in situ (SCCIS). OBJECTIVE Determine the 5-year recurrence rate of EDC for SCCIS and to determine if this differs by anatomic location. METHOD AND MATERIALS A retrospective, single-center, cohort study of patients treated between January 1, 2000, and January 1, 2017, with at least 5 years of follow-up. The overall 5-year recurrence rate of EDC for SCCIS was calculated and compared across low-risk (L), moderate-risk (M), and high-risk (H) anatomic zones. RESULTS Five hundred ten tumors were randomly identified from 367 unique patients. The 5-year recurrence rate of the entire cohort was 5.3%. There was no significant difference in recurrence by clinical size or immunosuppressed status. One hundred thirty-four tumors in the L zone were matched 1:1:1 to tumors in the M and H zones. The 5-year recurrence rate of M zone tumors (8.2%) and H zone tumors (6.0%) were higher than the recurrence rate of a L zone tumors (3.0%), but this was not statistically significant (p 5 .075 and p 5 .247, respectively). CONCLUSION Electrodesiccation and curettage allows for a high 5-year cure rate across a broad range of anatomic sites. However, overall cure rate should be individualized by anatomic location when counseling patients.

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“…Further research is needed to determine cost, efficacy, patient-rated convenience and cosmetic outcome comparing EDC, excision, and Mohs surgery in other clinical situations. 14…”

Section: Discussionmentioning

confidence: 99%

Electrodesiccation and Curettage for Squamous Cell Carcinoma in Situ: The Effect of Anatomic Location on Local Recurrence

Veverka

Stratman

2023

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Mohs micrographic surgery for keratinocyte carcinomas: clinicopathological predictors of the number of stages

Hope

Dowdle

Hope

et al. 2023

Baylor University Medical Center Proceedings

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Revised Mohs surgery care guidelines for squamous cell carcinoma in-situ are overdue

Cited by 2 publications

References 39 publications

Electrodesiccation and Curettage for Squamous Cell Carcinoma in Situ: The Effect of Anatomic Location on Local Recurrence

Electrodesiccation and Curettage for Squamous Cell Carcinoma in Situ: The Effect of Anatomic Location on Local Recurrence

Mohs micrographic surgery for keratinocyte carcinomas: clinicopathological predictors of the number of stages

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