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https://hdl.handle.net/2440/16673
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Type: | Journal article |
Title: | Microcystic adnexal carcinoma: Treatment with Mohs micrographic surgery |
Author: | Leibovitch, I. Huilgol, S. Selva-Nayagam, D. Lun, K. Richards, S. Paver, R. |
Citation: | Journal of the American Academy of Dermatology, 2005; 52(2):295-300 |
Publisher: | Mosby Inc |
Issue Date: | 2005 |
ISSN: | 0190-9622 1097-6787 |
Abstract: | <h4>Background</h4>Microcystic adnexal carcinoma (MAC) is reported to have a high rate of recurrence with standard wide local excision.<h4>Objective</h4>To report a large series of patients with MAC treated with Mohs micrographic surgery (MMS).<h4>Methods</h4>This prospective, multi-center case series included all patients in Australia treated with MMS for MAC, who were monitored by the Skin and Cancer Foundation between 1993 and 2002.<h4>Results</h4>There were 44 cases; most of them (90.9%) were located in the head and neck area. In 31.8% of cases it was a recurrent tumor. In 32.5% of cases the tumor was initially misdiagnosed as basal cell carcinoma or squamous cell carcinoma. Perineural invasion was recorded in 17.5% of cases; most of them (85.7%) were previously recurrent tumors. There was only one case of recurrence (5%) out of 20 patients who completed a 5 year follow-up period after MMS.<h4>Conclusion</h4>The low 5-year recurrence rate of MAC with MMS emphasizes the importance of margin-controlled excision. |
Keywords: | Humans Carcinoma, Skin Appendage Carcinoma, Basal Cell Carcinoma, Squamous Cell Head and Neck Neoplasms Skin Neoplasms Neoplasm Invasiveness Neoplasm Recurrence, Local Diagnostic Errors Treatment Outcome Mohs Surgery Retrospective Studies Follow-Up Studies Prospective Studies Databases, Factual Adolescent Adult Aged Aged, 80 and over Middle Aged Child Australia Female Male |
DOI: | 10.1016/j.jaad.2004.10.868 |
Published version: | http://dx.doi.org/10.1016/j.jaad.2004.10.868 |
Appears in Collections: | Aurora harvest 6 Surgery publications |
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