Surgical Gems: The “Little” Curet

Krull, Edward A.

doi:10.1111/j.1524-4725.1978.tb00518.x

Cited by 16 publications

(5 citation statements)

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“…In removing the bulk of the tumor with a curet, one is often surprised at its extensiveness, both laterally and in depth. Several recent articles by different authors have confirmed the value of this small instrument in initial treatment of cutaneous cancers 3–5 …”

Section: Discussionmentioning

confidence: 86%

Chemosurgery: My 15 Years of Experience

Robins

1981

The Journal of Dermatologic Surgery and Oncology

128

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WHEN I BEGAN TO PRACTICE CHEMOSURGERY nearly sixteen years ago, only one out of every five dermatologists and possibly one out of every twenty physicians of the rest of the medical community were aware that that technique of managing cutaneous cancers existed, even though Dr. Frederic Mohs had developed it 25 years earlier. At the time, fewer than 20 physicians, mostly dermatologists and a few general surgeons, were practicing chemosurgery , a mere handful compared to the number practicing it today. Nowadays more than one hundred physicians skilled in the method are members of the American College of Chemosurgery, and chemosurgery is almost a household word in medical circles. The entire dermatologic world and most of the surgical community recognize it as the most effective treatment for basal-and squamous-cell carcinomas.Thirteen years ago I introduced the first one-year comprehensive training program in chemosurgery , an expansion upon the one-and two-week programs that Dr. Mohs had established in Madison, Wisconsin. The program begun at the New York University Medical Center was the first in which qualified physicians could receive extensive training in chemosurgery and general dermatologic surgery. Upon completion of the program, those trained in chemosurgery (17 to date) have since started practices at several leading medical centers throughout the world, and these have multiplied many times the value and availability of this novel and highly effective technique. Eventually, word of it reached physicians of all specialties and has resulted in Dr.

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Section: Discussionmentioning

confidence: 86%

Chemosurgery: My 15 Years of Experience

Robins

1981

The Journal of Dermatologic Surgery and Oncology

128

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“…The technique includes multiple, firm passes with the curette across the entire base and 2 to 5 mm beyond the periphery of the tumor in various directions, following each pass with wiping to facilitate inspection for dermal irregularity and prominent follicular ostia, which should be thoroughly explored using successively smaller curettes when necessary. 28,29 Although not used for this study, light electrodesiccation, when necessary, may help loosen the epidermis and allow easier curettage of hyperkeratotic tumors or lesions on atrophic skin; even in this setting, the curette remains the primary treatment instrument.…”

Section: Discussionmentioning

confidence: 99%

Treatment of basal cell carcinoma with curettage alone

Barlow

Zalla

Kyle

et al. 2006

Journal of the American Academy of Dermatology

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“…There has been controversy as to whether preoperative curettage is appropriate before surgical excision (13)(14)(15)(16)(17)(18). Some feel that curettage better delineates the tumor before surgical excision or leads to fewer stages, when treating patients with MS, whereas others report that curettage may falsely increase the final defect size, negating any tissue-sparing advantages of the procedure (19)(20)(21)(22).…”

Section: Discussionmentioning

confidence: 95%

Basal cell carcinoma margin delineation: is curettage useful? A surgical and histological study

Dika

Fanti

Ismaili

et al. 2013

Journal of Dermatological Treatment

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Basal cell carcinoma (BCC) is the most common variety of non-melanoma skin cancer. Treatment modalities include cryotherapy, topical imiquimod 5% cream, photodynamic therapy, electrodessication and curettage, classic surgical excision, Mohs surgery, and radiotherapy. Surgical treatments are regarded as the most effective, but, in some cases, may produce poor cosmetic outcomes. Delineating tumor margins as much as possible is important in order to limit broad surgical excisions. Preoperative curettage is a surgical technique proposed to delineate BCC margins. Reported data on curettage utility are controversial. Some authors report that curettage better delineates the tumor, decreasing relapsing rates, whereas others consider it as a nonspecific procedure that may damage the surrounding healthy tissue and falsely increase the final defect size. We studied the pathologic features of curetted material and the main surgical specimens of 55 BCC treated with preoperative curettage. According to BCC subtype, preoperative curettage may lead to a complete or almost complete tumor removal. Preoperative curettage might be helpful in delineating BCC margins, especially in nodular and superficial BCC. No evidence of unspecific removal of tumor's surrounding healthy tissue was observed in our specimens.

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Surgical Gems: The “Little” Curet

Cited by 16 publications

References 1 publication

Chemosurgery: My 15 Years of Experience

Chemosurgery: My 15 Years of Experience

Treatment of basal cell carcinoma with curettage alone

Basal cell carcinoma margin delineation: is curettage useful? A surgical and histological study

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